[1] 刘 江,陈小芳,曾开达. 不同移植体在鼻尖整形术中的应用效果比较[J].中国美容医学,2021,(7):36-40.
　 LIU Jiang,CHEN Xiao-fang,ZENG Kai-da. Comparison of Different Grafts in Nasal Tip Plastic Surgery[J].Medical Aesthetics and Beauty,2021,(7):36-40.
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 不同移植体在鼻尖整形术中的应用效果比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年7期
页码:
36-40
栏目:
出版日期:
2021-07-10

文章信息/Info

Title:
 Comparison of Different Grafts in Nasal Tip Plastic Surgery
文章编号:
1008-6455（2021）07-0036-04
作者:
 刘 江1; 陈小芳2; 曾开达1
Author(s):
 LIU Jiang1; CHEN Xiao-fang2; ZENG Kai-da1
关键词:
 [关键词]鼻尖整形; 膨体聚四氟乙烯; 自体耳软骨; 自体肋软骨; 并发症; 满意度; 应用效果
Keywords:
 Key words: nasal tip plastic surgery;  expanded polytetrafluoroethylene;  autogenous ear cartilage;  autogenous costal cartilage; complication;  satisfaction degree;  application effect
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨不同移植体在鼻尖整形手术中的应用效果，并分析术后并发症情况。方法：选取2019年3月-2020年3月
在笔者医院行鼻尖整形的患者129例。按随机数字法和患者意愿分为膨体聚四氟乙烯（e-PTFE）组、e-PTFE+耳软骨组、
e-PTFE+肋软骨组3组，各43例。比较三组临床资料、手术情况、临床效果、手术满意度及并发症情况。结果：三组患者基
本资料、手术时间及愈合时间比较，差异均无统计学意义（P＞0.05）。e-PTFE+耳软骨组、e-PTFE+肋软骨组鼻尖高度、鼻长
度、鼻尖突出度均高于e-PTFE组，且e-PTFE+肋软骨组高于e-PTFE+耳软骨组，差异有统计学意义（P ＜0.05）。e-PTFE+耳软骨
组、e-PTFE+肋软骨组总满意度均高于e-PTFE组，且e-PTFE+肋软骨组高于e-PTFE+耳软骨组，差异有统计学意义（P ＜0.05）。
e-PTFE+耳软骨组、e-PTFE+肋软骨组并发症总发生率均低于e-PTFE组，且e-PTFE+肋软骨组低于e-PTFE+耳软骨组，差异有统
计学意义（P＜0.05）。结论：与单一应用e-PTFE相比，e-PTFE联合自体软骨在鼻尖整形手术中具有更优的效果，且e-PTFE
联合自体肋软骨更能提高鼻尖整形效果，并发症少，患者满意度高，值得临床推广应用。

Abstract:
Abstract: Objective To investigate the application effect of different grafts in nasal tip plastic surgery, and analyze the
postoperative complications. Methods Total of 129 patients who underwent nasal tip plastic surgery in our hospital from
March 2019 to March 2020 were selected. According to the random number method and the patient’s wishes, the patients were
divided into the 3 groups: the expanded polytetrafluoroethylene (e-PTFE) group (n =43), the e-PTFE+ear cartilage group (n =43)
and the e-PTFE+costal cartilage group (n =43). The clinical data, surgical conditions, clinical effects, surgical satisfaction and
complications of the 3 groups were compared. Results There was no significant difference in basic information, operation
time and healing time between the 3 groups (P ＞0.05). The nasal tip height, nose length, nasal tip protrusion degree in
the e-PTFE+ear cartilage group and the e-PTFE+costal cartilage group were higher than that in the e-PTFE group, and
the e-PTFE+costal cartilage group was higher than that in the e-PTFE+ear cartilage group, and the difference were all
statistically significant (P ＜0.05). The total satisfaction of the e-PTFE+ear cartilage group and the e-PTFE+costal cartilage
group were higher than that of the e-PTFE group, and the total satisfaction of the e-PTFE+costal cartilage group was higher
than that of the e-PTFE+ear cartilage group, and the difference were all statistically significant (P ＜0.05). The total incidence
of complications in the e-PTFE+ear cartilage group and the e-PTFE+costal cartilage group were lower than that of the e-PTFE
group, and the total incidence of complications in the e-PTFE+costal cartilage group was lower than that of the e-PTFE+ear
cartilage group, and the difference were all statistically significant (P ＜0.05). Conclusion Compared with a single application
of e-PTFE, e-PTFE combined with autologous cartilage has better effect in nasal tip plastic surgery, and e-PTFE combined
with autologous costal cartilage can improve the effect of nasal tip plastic surgery, with less complications and high patient
satisfaction, which is worthy of clinical application.

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更新日期/Last Update: 2021-08-03