自体肋软骨联合硅胶假体鼻整形效果探讨

目的:探讨自体肋软骨联合硅胶假体在鼻整形中的应用效果。方法:回顾性分析2015年5月-2017年5月笔者医院接受鼻整形的105例就医者临床资料,通过治疗方式不同分为观察组55例和对照组50例,对照组使用硅胶假体隆鼻,观察组使用自体肋软骨联合硅胶假体隆鼻,比较两组手术情况、鼻部塑形效果、二次手术率及并发症发生情况。结果:两组手术成功率、愈合时间比较,差异无统计学意义(P>0.05);观察组手术时间明显长于对照组,差异有统计学意义(P<0.05)。和术后3个月时比较,观察组术后12个月时鼻根高、鼻面角、鼻尖角、鼻额角差异无统计学意义(P>0.05);对照组术后12个月时鼻根高、鼻面角、鼻尖角均明显降低(P<0.05),且术后12个月时,观察组鼻根高、鼻面角、鼻尖角均明显高于对照组(P<0.05)。观察组二次手术率为3.64%(2/55)明显低于对照组的16.00%(8/50),差异有统计学意义(χ^2=4.646,P=0.031)。观察组术后并发症总发生率为14.55%明显低于对照组的32.00%,差异有统计学意义(P<0.05)。结论:和单用硅胶假体相比,自体肋软骨联合硅胶假体用于鼻整形中效果更加显著,具有鼻部塑形效果满意、二次手术率低、并发症少等特点,临床应用价值高。

Effect of Autogenous Costal Cartilage Combined with Silicone Prosthesis in Rhinoplasty

Objective To study the effect of autogenous costal cartilage combined with silicone prosthesis in rhinoplasty.Methods The clinical data of 105 patients undergoing rhinoplasty from May 2015 to May 2017 in our hospital were analyzed,according to the different treatment methods,the patients were divided into the observation group(n=55) and the control group(n=50).The control group was treated with silicone prosthesis,while the observation group was treated with autogenous costal cartilage combined with silicone prosthesis.The operation condition,nasal plastic effect,second operation rate and complications were compared between the two groups.Results There was no significant difference in the success rate and healing time between the two groups(P>0.05).The operation time of the observation group was significantly longer than that of the control group,and the difference was statistically significant(P<0.05).Compared with 3 months after operation,there was no significant difference in nasal root height,nasal facial angle,nasal tip angle and nasal frontal angle at 12 months after operation in the observation group(P>0.05).The nasal root height,nasal facial angle and nasal tip angle of the control group were significantly lower at 12 months after operation (P<0.05),and the nasal root height,nasal facial angle and nasal tip angle of the observation group were significantly higher than those of the control group at 12 months after operation (P<0.05).The second operation rate of the observation group was 3.64% (2/55),which was significantly lower than that of the control group (16.00%,8/50,χ^2=4.646,P=0.031).The total incidence of postoperative complications in the observation group was 14.55%,which was significantly lower than that in the control group (32.00%,P<0.05).Conclusion Compared with single silicone prosthesis,the autogenous costal cartilage combined with silicone prosthesis is more effective in rhinoplasty,it have characteristics of satisfactory nasal plastic effect,the clinical application value is high.