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目的对比分析旋转推进与其改进法修复单侧完全性唇裂唇高恢复情况,为临床单侧完全性唇裂的治疗提供依据。方法选取2007—2010年中国医科大学口腔医学院口腔颌面外科收治的单侧完全性唇裂患儿60例,随机分为2组,每组30例。第一组采用旋转推进法进行手术修复,第二组采用在第一组手术方法基础上,在唇红上方设计一小三角瓣的改进法进行手术修复。两组患儿分别在手术后6个月复查,测量每名患儿健、患侧唇高并计算其差值,再进行两组对比。结果两组患儿手术完成即刻唇高差异无统计学意义(P>0.05);6个月后复查,两组健侧、患侧唇高的差异亦均无统计学意义(P>0.05),但两组间健-患侧唇高差的比较差异有统计学意义(P<0.05)。结论在修复单侧完全性唇裂初期手术时,增加皮肤小三角瓣,可减小瘢痕挛缩的程度,保持两侧唇峰高度对称,保证唇裂术后的远期效果良好。
Objective To comparatively analyze the situation of repairing unilateral complete cleft lip with revolving propulsion and its improved method, and provide the basis for the treatment of unilateral complete cleft lip. Methods Sixty children with unilateral complete cleft lip treated by Department of Oral and Maxillofacial Surgery, China Medical University from 2007 to 2010 were randomly divided into two groups (30 in each group). The first group was operated by rotary propulsion method, and the second group was reconstructed by the improved method of designing a small triangular flap above lip lip on the basis of the first group of surgical methods. Two groups of children were reviewed 6 months after surgery to measure each child’s health, ipsilateral lip height and calculate the difference, and then compared the two groups. Results There was no significant difference in lip height between the two groups immediately after operation (P> 0.05). After 6 months, there was no significant difference in lip height between contralateral side and affected side (P> 0.05) However, there was significant difference between the two groups in healthy-affected side lip height difference (P <0.05). Conclusion In the initial repair of unilateral complete cleft lip, the small triangular flap can increase the degree of scar contracture and maintain a high degree of symmetry on both sides of the lip, ensuring the long-term effect of cleft lip surgery.