[1]张承武,胡 金,杨宏刚,等.硅胶假体联合脱细胞异体真皮基质行鼻整形的效果分析[J].中国美容医学,2023,(2):28-31.
　ZHANG Chengwu,HU Jin,YANG Honggang,et al.Analysis of the Effect of Silicone Prosthesis Combined with Acellular Allogeneic Dermal Matrix for Rhinoplasty[J].Medical Aesthetics and Beauty,2023,(2):28-31.
点击复制

硅胶假体联合脱细胞异体真皮基质行鼻整形的效果分析()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年2期
页码:
28-31
栏目:
出版日期:
2023-02-10

文章信息/Info

Title:
Analysis of the Effect of Silicone Prosthesis Combined with Acellular Allogeneic Dermal Matrix for Rhinoplasty
文章编号:
1008-6455(2023)02-0028-03
作者:
张承武1 ; 胡 金1 ; 杨宏刚2 ; 方 涛2
(1.博敖一龄生命养护中心美容外科 海南 琼海 571400 ；2.武汉铂雅医疗整形美容门诊美容外科 湖北 武汉 430000 ）
Author(s):
ZHANG Chengwu1 ; HU Jin1 ; YANG Honggang2 ; FANG Tao2
(1.Department of Cosmetic Surgery,Boao Yiling Life Care Center,Qionghai 571400,Hainan,China; 2.Department of Plastic Surgery,Wuhan Boya Medical Plastic Surgery Clinic,Wuhan 430000,Hubei,China)
关键词:
鼻整形; 硅胶假体; 脱细胞异体真皮基质; 临床效果; 满意度
Keywords:
rhinoplasty;  silicone prosthesis;  acellular allogeneic dermal matrix;  clinical eff ect;  satisfaction
分类号:
R622
文献标志码:
A
摘要:
目的：探讨硅胶假体联合脱细胞异体真皮基质（Acellular allogeneic dermal matrix,AADM）在鼻整形术中的效 果及满意度情况。方法：选取2017年9月-2019年9月在医院行鼻整形的91例就医者为研究对象，均采用硅胶假体联合AADM 进行鼻整形术。术后对其随访6～12个月，平均随访（8.90±1.24）个月，记录就医者临床效果，包括鼻长度和鼻尖高度 变化、满意度及并发症情况。结果：术后，整形效果优者55例（55/91，60.44%），良29例（29/91，31.87%），一般6例 （6/91，6.59%），差1例（1/91，1.10%），优良率为92.31%（84/91）。术后就医者鼻长度长于术前，鼻尖高度高于术 前（P＜0.05）；在就医者自我评价中，非常满意49例（49/91，53.85%），满意36例（36/91，39.56%），不满意6例（6/91， 6.59% ），总满意度为93.41%（85/91）；术后对就医者随访6～12个月，平均随访（8.90±1.24）个月，就医者均无感染、鼻部瘀 血肿胀、假体移位、假体轮廓外显、皮肤破溃等严重并发症；5例就医者出现轻度鼻尖发红，经热敷处理后症状消失。结论：硅 胶假体联合AADM在鼻整形术中具有良好的修复效果，可有效改善鼻形，且并发症少，就医者满意度高，值得临床推广应用。
Abstract:
Objective To investigate the effect of silicone prosthesis combined with acellular allogeneic dermal matrix (AADM) in rhinoplasty and the satisfaction of patients. Methods Total of 91 patients who underwent rhinoplasty in our hospital from September 2017 to September 2019 were selected.All patients were treated with silicone prosthesis combined with AADM for rhinoplasty. The patients were followed up for 6-12 months after the operation,with an average follow-up of (8.90±1.24) months.The patient’s clinical eff ects,changes in the length of the nose and the height of the nose tip,satisfaction,and complications were recorded. Results After the operation,plastic surgery results showed the that 55 cases were excellent (55/91,60.44%),29 cases were good (29/91,31.87%),6 cases were general (6/91,6.59%),and 1 case was poor (1/91,1.10%),the excellent and good rate was 92.31% (84/91). The length of nose of patients after operation was longer than that before operation, and the height of nasal tip was higher than that before operation (P ＜0.05). After the operation,in that self-evaluation of the patient,49 patients were very satisfied (49/91,53.85%),36 patients were satisfied (36/91,39.56%),and 6 patients were dissatisfi ed (6/91,6.59%).The total satisfaction rate was 93.41% (85/91). The patients were followed up for 6-12 months after the operation,with an average follow-up of (8.90±1.24) months.There were no serious complications such as infection,nasal congestion and swelling,prosthesis displacement,prosthesis contour appearance,and nasal tip skin ulceration; 5 patients had mild nasal redness,and the symptoms disappeared after hot compress. Conclusion Silicone prosthesis combined with AADM has a good repair eff ect in rhinoplasty,which can eff ectively improve the shape of the nose,with fewer complications,and the satisfaction of patients was high.It is worthy of clinical application.

相似文献/References:

[1]施 超. 氟比洛芬酯复合地佐辛在肋软骨隆鼻术中多模式超前镇痛作用[J].中国美容医学,2018,(03):44.
　SHI Chao. Preemptive Multimodal Analgesia Effect of Flurbiprofen Axetil Combined with Dezocine in Patients Undergoing Augmentation Rhinoplasty Using Costal Cartilage[J].Medical Aesthetics and Beauty,2018,(2):44.
[2]潘小欢,伍艳群,胡文辉,等. 假体隆乳术后乳房按摩预防Ⅲ/Ⅳ包膜挛缩的回顾性研究[J].中国美容医学,2018,(04):1.
　PAN Xiao-huan,WU Yan-qun,HU Wen-hui,et al. Retrospective Study on Breast Massage Prevention Ⅲ/Ⅳ Capsular Contracture[J].Medical Aesthetics and Beauty,2018,(2):1.
[3]冯 丽.循证护理干预在预防乳腺下硅胶假体隆乳术后并发症中的作用及对术后效果的影响[J].中国美容医学,2018,(06):145.
　FENG Li.Application of Evidence-based Nursing Intervention in Prevention of Complications after Augmentation Mammoplasty with Silicone Prosthesis and its Effect on Aesthetic Effect[J].Medical Aesthetics and Beauty,2018,(2):145.
[4]薛美思,张 强,梁发贵,等. 假体隆颏联合颏肌放松治疗轻中度小颏畸形疗效观察[J].中国美容医学,2018,(07):112.
　XUE Mei-si,ZHANG Qiang,LIANG Fa-gui,et al. Clinical Observation of ChinAugmentation Combined with Mentalis Relaxation inTreatment of Mild to Moderate Chin Microsomia[J].Medical Aesthetics and Beauty,2018,(2):112.
[5]张倩倩,李加辅,朱 骁,等.翻转瘢痕瓣在鼻头修复中的应用研究[J].中国美容医学,2019,(01):1.
　ZHANG Qian-qian,LI Jia-fu,ZHU Xiao,et al.Application of Flipped Cicatricial Flap in the Repair of the Nose Tip[J].Medical Aesthetics and Beauty,2019,(2):1.
[6]陈 静,王少强,樊菁菁,等. 经乳晕切口切除乳腺良性病变同期行隆乳术的效果观察[J].中国美容医学,2019,(02):29.
　CHEN Jing,WANG Shao-qiang,FAN Jing-jing,et al. Effect Observation of Augmentation Mammaplasty after the Resection of the BenignBreast Lesions through Periareolar Incision[J].Medical Aesthetics and Beauty,2019,(2):29.
[7]李盛华,陈志鹏,丁祖烈,等.自体耳软骨联合硅胶假体隆鼻的美观效果及恢复速度观察[J].中国美容医学,2019,(05):29.
　LI Sheng-hua,CHEN Zhi-peng,DING Zu-lie,et al.Observation on the Aesthetic Effect and Recovery Rate of Augmentation Rhinoplastywith Autogenous Ear Cartilage Combined with Silicone Prosthesis[J].Medical Aesthetics and Beauty,2019,(2):29.
[8]高 扬,石玉琦,杨兴春,等. 膨体聚四氟乙烯与硅胶假体隆鼻效果比较[J].中国美容医学,2019,(12):39.
　GAO Yang,SHI Yu-qi,YANG Xing-chun,et al. Comparison of Augmentation Rhinoplasty Effect between ExpandedPolytetrafluoroethylene and Silicone Prosthesis[J].Medical Aesthetics and Beauty,2019,(2):39.
[9]张庆卫,王成元,张顺生,等. 自体肋软骨联合硅胶假体在短鼻畸形修复中的应用研究[J].中国美容医学,2020,(3):35.
　ZHANG Qing-wei,WANG Cheng-yuan,ZHANG Shun-sheng,et al. Application of Autogenous Costal Cartilage Combined with Silica Gel Prosthesis inthe Repair of Short Nose Deformity[J].Medical Aesthetics and Beauty,2020,(2):35.
[10]杨 成,李正勇,刘睿奇. 肋软骨与耳软骨联合硅胶假体隆鼻效果比较[J].中国美容医学,2020,(4):28.
　YANG Cheng,LI Zheng-yong,LIU Rui-qi.Comparison of Clinical Effects of Costal Cartilage and Auricular Cartilage Combinedwith Silicone Prosthesis in Rhinoplasty[J].Medical Aesthetics and Beauty,2020,(2):28.

更新日期/Last Update: 2023-03-03