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目的探讨肋软骨在修复唇裂鼻畸形中的临床应用效果。方法选取2011年1月至2016年6月63例16岁以上的唇裂鼻畸形患者,随机分为研究组(33例)和对照组(30例)。研究组取自体肋软骨分别制成不同形态的软骨支架进行唇裂鼻畸形修复治疗,对照组进行常规手术治疗,比较两组临床效果。结果所有患者随访3~6个月,术后效果良好,鼻底宽度的对称性、鼻小柱的高度、鼻尖的形态及鼻背的形态得到明显改善,但研究组矫正率大于对照组。结论应用肋软骨修复唇裂鼻畸形术效果明显,值得临床推广应用。
Objective To investigate the clinical application of costal cartilage in the repair of cleft lip nasal deformity. Methods From January 2011 to June 2016, 63 patients with cleft lip nasal deformities over 16 years old were randomly divided into study group (33 cases) and control group (30 cases). The study group was taken from the costal cartilage were made into different forms of cartilage scaffold for cleft lip nasal deformity repair treatment, the control group were routine surgical treatment, the clinical effect of two groups were compared. Results All patients were followed up for 3 to 6 months. The postoperative results were good, the symmetry of the nasal floor width, the height of the columella, the morphology of the nasal tip and the morphology of the nasal back were significantly improved. However, the correction rate of the study group was greater than that of the control group. Conclusion The application of costal cartilage repair cleft lip nasal deformity effect is obvious, worthy of clinical application.