唇珠矩形瓣修复单侧唇裂唇红部的临床研究

【目的】评估唇珠矩形瓣整复单侧唇裂唇红部的临床疗效。【方法】选择85例单侧唇裂，其中不全唇裂36例，完全唇裂49例，85例患者按入院先后随机分为两组：A组40例，采用唇珠矩形瓣整复唇红；B组45例，采用“Z”字交换法修复唇红。比较两组患者手术后7d及术后1～2年唇红修复效果，内容包括患侧红唇是否有过厚或过薄、是否有口哨畸形、是否有尖锐唇峰及丘比特弓不连续等指标。【结果180例患者伤口均为一期愈合，仅5例患者存在鼻底感染，所有患者唇红转瓣处均未发生坏死及感染。A组患者术后1～2年出现患侧红唇过厚或过薄、尖锐唇峰或丘比特弓不连续百分率明显低于B组，其差异均有统计学意义（P〈0．05）；而两组口哨畸形发生率比较差异无统计学意义（P〉0．05）。【结论】单侧唇裂唇珠矩形瓣法能良好的修复唇裂患者唇红、唇峰及唇珠外形，值得临床推广应用。

Efficacy of Vermilion Tubercle Square Flap on Vermilion Reconstruction of Unilateral Cleft Lip

Objective]To evaluate the efficacy of the vermilion tubercle square flap on vermilion reconstruction of unilateral cleft lips .[Methods]Eighty three cases of unilateral cleft lip were selected .36 cases of them were incom‐plete cleft lip ,and 49 cases were of complete cleft lip .85 cases were randomly divided into two groups according to the admission :40 cases for Group A ,whose vermilion were reconstructed by the vermilion tubercle square flap ;and 45 cases for Group B ,to which the "Z" shape exchange method was used to repair the vermilion lips .Comparison of repair effect of the vermilion in the two groups was made in 7 d and 1 ~ 2 years after surgery .The contents included the indexes as whether the suffered lip was too thick or too thin ,whether there was a whistling deformities and whether there was a sharp lip peak or discontinuous Cupid's bow .[Results]All wounds in 80 cases were healed at Phase One ,only 5 cases had nasal floor infection .No necrosis nor infection occurred in all vermilion turning to flaps . In 1 ~ 2 years after the surgery ,the incidence of over‐thickness or over‐thinness of vermilion ,sharp lip peak and dis‐continuous percentage of Cupid's bow in the Group A were significantly lower than those of the Group B ,and the differences were statistically significant ( P < 0 .05) ;But there was no significant difference in whistling deformities between the two groups ( P > 0 .05) .[Conclusion]The vermilion tubercle square flap for unilateral cleft lips is a good method to repair and reconstruct lip vermilion ,lip peak and vermilion tubercle shape of patients with cleft lip .It is worthy of clinical popularization and application .