泡沫硬化剂与液态硬化剂注射治疗下肢静脉曲张临床疗效对比的Meta分析

目的采用Meta分析比较泡沫硬化剂与液态硬化剂注射治疗下肢静脉曲张的临床疗效。方法搜索中英文数据库,包括万方、维普、中国知网、PubMed,Web of Science,Science Drirect Online和Cochrane Library。搜集关于泡沫硬化剂与液态硬化剂注射治疗下肢静脉曲张临床疗效比较的随机对照试验的论文,并纳入Meta分析,对比二者的临床疗效。结果搜集了6个随机对照试验纳入Meta分析,总共包含546例患者。经过分析,实验组与对照组有效率对比,差异具有统计学意义(P0.05)。二者有效率对比的OR值为6.63(95%CI:4.47,9.85),实验组有效率优于对照组。而实验组与对照组并发症发生率对比,其差异无统计学意义(P0.05)。结论泡沫硬化剂注射治疗下肢静脉曲张的临床疗效优于液态硬化剂。     

鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术

目的 总结33例外鼻畸形伴鼻中隔偏曲患者施行内镜辅助下鼻整形术同期鼻中隔偏曲矫正术的临床资料,分析手术方法和术后疗效。 方法 患者均在全麻下经鼻小柱鼻前庭做切口,骨膜下暴露鼻骨及上颌骨额突,在内镜辅助下进行截骨整复并矫正鼻中隔,酌情将取出的自体鼻中隔骨质及软骨条修整后填于塌陷处或支撑鼻小柱、修整鼻尖等。术中可同期行下鼻甲成形术。随访3个月以上。 结果 全部患者术后均取得满意的整形效果,鼻腔通气良好。 结论 鼻内镜辅助下鼻整形术同期行鼻中隔偏曲矫正术效果好,无排异反应,不仅能改善鼻部外观,而且能改善鼻腔通气效果。     

我国汉族女性鼻整形手术的研究进展

随着鼻整形手术技术的发展,对填充材料的使用有了更多、更深刻的理解。近年来,我国整形外科的专家们,针对汉族女性鼻部的美学特征,以及不同填充材料的应用特点,设计了一系列更精确的手术方式,使鼻整形手术更趋完善。结合汉族女性的鼻部特点,对鼻背部整形、鼻尖部整形、鼻整形术后并发症及鼻整形材料的使用情况进行总结分析。     

Comparison of the application methods and effects of skin flaps in the repair of defects in different parts of the nose according to the concept of aesthetic nosesubunits北大核心CSCD

Objective To analyze the difference of application methods and effects of local flap in small and medium‑sized defects of different aesthetic subunits of nose, in order to provide reference for clinical work. Methods A retrospective analysis was made on 59 patients with external nasal masses and scars who underwent surgical treatment in the Department of Aesthetic Plastic Surgery of the Affiliated Hospital of Qingdao University from July 1, 2021 to January 30, 2022, including 27 females and 32 males, aged 15 to 69 years. Using Likert scale, the repair methods and effects of local flap for nasal soft tissue defects were evaluated and summarized from three aspects of texture, flatness and scar concealment. GraphPad Prism 5.0 software was used for data statistics and analysis. Results The use of skin flaps to repair small and medium‑sized areas of the nose could achieve satisfactory results. For patients with different subunits, in terms of skin flatness and scar concealment degree in the operation area, patients′ satisfaction with the dorsal and lateral nasal areas was higher than that of the alar and tip areas, respectively (F=6.40, P=0.001; F=10.57, P<0.001). For patients with different skin flap repair methods, the satisfaction of patients with Z‑plasty and Dufourmentel skin flap was higher than that of other skin flap repair methods (F=4.38, P=0.002), and the satisfaction of patients with Dufourmentel skin flap was the highest in the degree of scar concealment (F=2.57, P=0.038). Conclusions In the small and medium‑sized defects of the nose, the use of multiple local flaps can achieve good cosmetic effects and functional recovery. The operator should select the appropriate flap repair method according to the characteristics of different aesthetic subunits of the nose. © 2023 Authors. All rights reserved.