›› 2017, Vol. 37 ›› Issue (12): 1095-1098.

• 临床研究 • 上一篇    下一篇

两种改良Millard法修复单侧唇裂的临床对比效果观察

高廷益,张凯,杨东昆,徐锦程   

  1. 蚌埠医学院第一附属医院
  • 收稿日期:2016-07-05 修回日期:2016-09-29 出版日期:2017-12-28 发布日期:2017-12-28
  • 通讯作者: 徐锦程 E-mail:xjch9999@163.com

Comparison of two new improved Millard individual operative designs in complete unilateral cleft lip repair and lip height restoration.

  • Received:2016-07-05 Revised:2016-09-29 Online:2017-12-28 Published:2017-12-28

摘要: 摘要】目的:对比分析两种改良Millard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:取我科2009-2014年收治的先天性单侧唇裂患儿50例,随机分为2 组,每组25 例。第一组采用石冰的个体化改进MillardII术式,第二组采用不做8点的改良Millard术式。两组患儿分别在手术后即刻和术后6 个月随访,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 个月后随访,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,石冰的个体化改进MillardII术式,应用范围更广泛,唇高改善理想;不做8点的改良Millard术式避免了鼻底的横行疤痕,但患侧唇高下降不足。

关键词: 单侧唇裂 , Millard法 , 唇高

Abstract: Abstract:Objective By using two different methods of unilateral cleft lip repair,and 6 months after surgery,respectively,were compared in order to compare the recovery of the affected side lip height there are no significant differences. Methods Fifty children with unilateral cleft lip in were selected,25 patients in each group. The first group was treated with ShiBing’s method,the second group was treated with a new improved Millard individual operative design . Two groups of patients,after surgery,respectively,in 6 months,were measured lip height and the difference calculated,and then compare the two groups,the data for statistical analysis. Results In the second group immediate total figures of the health and trouble side lip height standard deviation difference was big;in the first group immediate total figures of the health and trouble side lip height standard deviation difference was minimum. Thus it can be seen that the surgery method first group of surpassed surgery method second group of obviously. Conclusion At the beginning of the unilateral cleft lip repair surgery, ShiBing individual improvement MillardII operation,have wider application range, can improve lip height restoration;Another new modified Millard method can avoid the nasal floor transverse scar, but can not improve lip height restoration.

Key words: unilateral cleft lip, millard, lip height

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