基于唇鼻肌肉张力带理论修复隐性唇裂人中结构

摘要

目的 探讨唇鼻肌肉张力带理论修复隐性唇裂人中结构的效果.方法 回顾分析2015年1月至2017年12月在复旦大学附属儿科医院整形外科接受首次手术治疗的隐性唇裂患儿,共19例,男12例,女7例,年龄3～60个月.按不同肌肉重建方法分为2组,肌肉张力带修复组和肌肉水平褥式缝合修复组.对术后人中嵴和人中凹形态进行评分,在Prism 6.0软件中以不成对t检验进行统计学分析.结果 术后人中嵴形态评分:肌肉张力带修复组为(4.15±0.56)分,肌肉水平褥式缝合为(2.73±0.32)分,P＜0.01;人中凹形态评分:肌肉张力带修复组为(2.36±0.50)分,肌肉水平褥式缝合为(1.45±0.28)分,P=0.0004.结论 唇鼻肌肉张力带理论修复隐性唇裂人中结构效果良好.%Objective This study is to investigate the effectiveness of philtrum repairment formicroform cleft lip,using muscle tension line group reconstruction.Methods This is a retrospective study of 19 consecutively primary microform cleft lip repairment patients,from January 2015 to December 2017.All the patients were provided muscle tension line reconstruction (group 1) or traditional muscle repairment by horizontal mattress sutures (group 2).The philtral ridge and dimple were evaluated by scores.The statistical analyses were performed using unpaired t-test by Prism 6.0 software.Results The philtral ridge score was higher in group 1 than group 2 (4.15±0.56 vs.2.73±0.32,P＜0.01).The philtral dimple score of group 1 increased either,when compared with group 2 (2.36 ± 0.50 vs.1.45 ± 0.28,P =0.0004).Conclusions Functional reconstruction of philtrum,using muscle tension line group repair,has satisfactory results in philtral ridge and philtral dimple.