【摘要】：目的：探討改良修復(fù)單側(cè)唇裂的手術(shù)方法,減少手術(shù)疤痕,同時(shí),將疤痕設(shè)計(jì)在輪廓線上,進(jìn)一步提高單側(cè)唇裂手術(shù)的整復(fù)效果。 方法：通過(guò)對(duì)20例單側(cè)唇裂患者,運(yùn)用一種新的單側(cè)唇裂整復(fù)術(shù)術(shù)式,將手術(shù)切口疤痕變?yōu)橹本�,同時(shí),將手術(shù)切口設(shè)計(jì)在人中嵴的輪廓線上,使患兒恢復(fù)上唇的正常解剖結(jié)構(gòu),并且盡可能減少術(shù)后疤痕,對(duì)傳統(tǒng)的術(shù)式進(jìn)行改良。術(shù)后7天拆線,標(biāo)準(zhǔn)術(shù)前、術(shù)后相片對(duì)比,并進(jìn)行門診隨訪,標(biāo)準(zhǔn)隨訪照片。 結(jié)果：本組20個(gè)病例無(wú)局部感染、出血、復(fù)裂者,切口均Ⅰ期愈合。術(shù)后隨訪時(shí)間最短1個(gè)月,最長(zhǎng)6個(gè)月,平均4個(gè)月。結(jié)果示唇弓線連續(xù)性良好,形態(tài)對(duì)稱,疤痕不明顯,外觀恢復(fù)良好。 結(jié)論：這種改良方法定點(diǎn)及切口設(shè)計(jì)簡(jiǎn)單,手術(shù)后疤痕少,且在輪廓線上,手術(shù)后對(duì)稱性好,能最大程度恢復(fù)術(shù)者鼻唇外觀,手術(shù)效果滿意,是一種可行的單側(cè)唇裂修復(fù)術(shù)的改良方法。
[Abstract]:Objective: to explore the improved method of unilateral lip repair, to reduce the surgical scar, and to design the scar on the outline line, so as to further improve the effect of unilateral lip surgery. Methods: 20 patients with unilateral lip fissure were treated with a new unilateral lip repair method, and the scar of the incision was changed into a straight line. At the same time, the incision was designed on the outline line of the human middle ridge. The normal anatomical structure of the upper lip was restored, the postoperative scar was reduced as much as possible, and the traditional operation was improved. 7 days after operation, standard preoperative and postoperative photos were compared, and outpatient follow-up and standard follow-up photos were carried out. Results: there was no local infection, bleeding, recurrent rupture and primary wound healing in 20 cases. The follow-up time was 1 month and 6 months, with an average of 4 months. The results showed that the continuity of labial arch line was good, the morphology was symmetrical, the scar was not obvious, and the appearance recovered well. Conclusion: this improved method has the advantages of simple fixed point and incision design, less scar after operation, and good symmetry after operation on the profile. it can restore the appearance of nose and lip to the greatest extent, and the operation effect is satisfactory. It is a feasible improved method for unilateral lip repair.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R782.2

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本文編號(hào)：2483125