摘要
目的分析块状肋软骨移植物对矫正鼻基底凹陷的临床疗效。方法50例需要进行鼻基底凹陷矫正的患者,随机分为观察组和对照组,每组25例。对照组患者采用颗粒肋软骨进行手术填充治疗,观察组患者采用块状肋软骨进行手术填充治疗。比较两组治疗效果,满意度,治疗前后生活质量评分、各个角度变化,并发症发生情况。结果观察组患者的治疗总有效率为96.00%,明显高于对照组的76.00%,差异具有统计学意义(P<0.05)。观察组患者治疗后的总满意度92.00%明显高于对照组的68.00%,差异具有统计学意义(P<0.05)。治疗后,两组患者的躯体功能、行为功能、情感健康、社会功能评分均高于本组治疗前,且观察组患者的躯体功能评分(40.53±4.38)分、行为功能评分(41.37±3.34)分、情感健康评分(41.52±3.23)分、社会功能评分(40.37±4.37)分均高于对照组的(36.56±4.53)、(36.37±5.27)、(35.37±4.04)、(36.27±3.07)分,差异具有统计学意义(P<0.05)。治疗后,观察组患者的小柱-小叶角、小柱-上唇角、鼻面角、鼻额角分别为(36.42±2.63)、(91.67±2.93)、(36.96±3.11)、(133.52±1.05)°,均大于对照组的(34.18±1.72)、(89.93±1.62)、(34.83±2.06)、(131.63±2.52)°,差异有统计学意义(P<0.05)。观察组患者治疗后并发症发生率为8.00%,明显低于对照组的32.00%,差异具有统计学意义(P<0.05)。结论块状肋软骨移植物对矫正鼻基底凹陷患者的治疗效果更为显著,且患者的满意度更高,生活质量更优,建议在临床治疗中进行推广使用。
Objective To analyze the clinical efficacy of massive costal cartilage graft for correction of nasal base depression.Methods A total of 50 patients requiring correction of nasal base depressions were randomly divided into observation group and control group,with 25 patients in each group.Patients in the control group were treated with granular costal cartilage for surgical filling,and patients in the observation group were treated with massive costal cartilage graft for surgical filling.The therapeutic effect,satisfaction,quality of life score and changes of each angle before and after treatment,and occurrence of complications were compared between the two groups.Results The total effective rate of treatment in the observation group was 96.00%,which was significantly higher than 76.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the total satisfaction rate in the observation group was 92.00%,which was significantly higher than 68.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of somatic function,behavioral function,emotional health,and social function in both groups were higher than those before treatment in this group;in the observation group,the physical function score was(40.53±4.38)points,the behavioral function score was(41.37±3.34)points,the emotional health score was(41.52±3.23)points,and the social function score was(40.37±4.37)points,which were higher than(36.56±4.53),(36.37±5.27),(35.37±4.04)and(36.27±3.07)points in the control group;the differences were statistically significant(P<0.05).After the treatment,the columella-lobular angle,columella-upper lip angle,nasofacial angle,and nasofacial angle were(36.42±2.63),(91.67±2.93),(36.96±3.11),and(133.52±1.05)°in the observation group,which were greater than(34.18±1.72),(89.93±1.62),(34.83±2.06),and(131.63±2.52)°in the control group,and the differences were statistically significant(P<0.05).After treatment,the incidence of complica
作者
丁蓓蓓
李妍寸心
王继华
DING Bei-bei;LI Yan-cun-xin;WANG Ji-hua(Plastic Surgery Department,Second Affiliated Hospital of Kunming Medical University,Kunming 650031,China)
出处
《中国实用医药》
2023年第5期49-53,共5页
China Practical Medicine
关键词
块状肋软骨
移植物
矫正
鼻基底凹陷
颗粒肋软骨
疗效
满意度
Massive costal cartilage
Graft
Correction
Nasal base depression
Granular costal cartilage
Efficacy
Satisfaction
