固体硅胶假体与膨体聚四氟乙烯假体用于单纯隆鼻的Meta分析(1)
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[摘要]目的 对固体硅胶假体与膨体聚四氟乙烯假体用于单纯隆鼻进行系统评价。 方法 计算机检索MEDLINE(1966~2010年)文献数据库，收集所有相关使用生物材料隆鼻术的临床报告，进行Meta分析，以进行系统评价。 结果 硅胶假体外露率为3.4%，而膨体没有出现外露病例(P < 0.05)；硅胶假体的感染率为2.3%，膨体的感染率1.8%，差异不显著(P > 0.05)；硅胶假体的取出率为6.0%，显著高于膨体的取出率3.9%(P < 0.05)。 结论 生物材料为隆鼻术的发展带来了新进展，而膨体与硅胶假体各有优劣，应当根据患者不同情况及需求作适应性的选择。
[关键词] 硅胶；膨体聚四氟乙烯；隆鼻术
[中图分类号] R765.9 [文献标识码] B [文章编号] 1673-9701(2012)06-0118-03
The systematic evaluation of the merits of using solid silicone prosthesis and expanded PTFE prosthesis on simple augmentation rhinoplasty
WANG Ling1 ZHAO Weixi2 XIAO Wei2 XU Jinghong2 SHI Tiemei1
1.The Department of Plastic Surgery, Xinchang People's Hospital in Zhejiang Province, Xinchang 312500, China; 2. The Department of Plastic Surgery, the 1st Affiliated Hospital of Zhejiang University,Hangzhou 310000, China
[Abstract] Objective To systematical evaluate the usage of solid silicone prosthesis and expanded PTFE prosthesis on simple augmentation rhinoplasty. Methods Used computer to search MEDLINE literature database (1966 to 2010), to collect all the relevant clinical reports of using biological materials on augmentation rhinoplasty, then using the Meta analysis to evaluate the system. Results Silicone prosthesis exposure rate was 3.4%, while the expanded PTFE no exposed cases (P < 0.05); silicone prosthesis infection rate was 2.3%, expanded PTFE expanded 1.8 percent infection rate, the difference was not significant (P > 0.05); silicone prosthesis removal was 6.0%, significantly higher than the expanded PTFE expanded the removal rate of 3.9% (P < 0.05). Conclusion Biological material brings new progress for the development of augmentation rhinoplasty. As each expanded expanded PTFE and silicone prosthesis has advantages and disadvantages, so different situations should be based on patient needs for adaptive selection.
[Key words] Silicone; Expanded PTFE; Augmentation rhinoplasty
隆鼻术是利用充填材料，通过手术改善鼻根和鼻梁塌陷或鼻尖低平等外鼻形态欠佳的一种整形手术[1]。既往的观念认为自体组织材料(软骨、骨、真皮、脂肪细胞等)是隆鼻术的最佳材料，其组织相容性和安全性最高，但常因理想的供区材料不足 ......
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