华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果比较

doi:10.7518/hxkq.2022.03.010

华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (3): 309-313.doi: 10.7518/hxkq.2022.03.010

华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果比较

刘晓琳(), 王宇, 冯晓伟, 刘文静, 李向军()

河北医科大学口腔医学院·口腔医院口腔颌面外科，河北省口腔医学重点实验室，河北省口腔疾病临床医学研究中心，石家庄 050017

收稿日期:2021-03-03 修回日期:2021-11-07 出版日期:2022-06-01 发布日期:2022-06-01
通讯作者: 李向军 E-mail:1048507074@qq.com;lixiangjun2013@sina.cn
作者简介:刘晓琳，主治医师，博士，E-mail：1048507074@qq.com
基金资助:
河北省医学科学研究课题计划(20191067);河北医科大学2020年大学生创新性实验计划(USIP2020313)

Comparison of surgical effects between the modified West China method and Millard method in repairing unila-teral cleft lip

Liu Xiaolin(), Wang Yu, Feng Xiaowei, Liu Wenjing, Li Xiangjun.()

Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Hebei Medical University, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, Shijiazhuang 050017, China

Received:2021-03-03 Revised:2021-11-07 Online:2022-06-01 Published:2022-06-01
Contact: Li Xiangjun. E-mail:1048507074@qq.com;lixiangjun2013@sina.cn
Supported by:
Medical Science Research Project in Hebei Province(20191067);Innovative Experimental Plan for College Students in Hebei Medical University in 2020(USIP2020313)

摘要/Abstract

摘要： 目的

本研究旨在比较华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果。

方法

共收集34例单侧唇裂患者，试验组16例，对照组18例，分别采用华西改良旋转推进法和Millard旋转推进法，对术前、术后照片进行测量，采用SPSS 21.0进行统计学分析。

结果

试验组术后健、患侧鼻翼基部点（sba）、鼻翼点（al）、唇峰点（cph）、口角点（ch）对称性差异无统计学意义（P>0.05），对照组术后健、患侧cph、ch对称性差异无统计学意义（P>0.05）；试验组和对照组sba、cph、ch的对称率及鼻小柱中点回归率差异无统计学意义（P>0.05），试验组al对称率高于对照组（P<0.05）。

结论

对单侧唇裂整复，两种方法对唇部整复效果均较好，但华西改良旋转推进法比传统Millard旋转推进法对鼻部对称性的改善更好。

关键词: 单侧唇裂, 华西改良旋转推进法, 手术效果

Abstract: Objective

The purpose of this study is to compare the surgical effects of the modified West China method and Millard methods for repairing unilateral cleft lip.

Methods

A total of 34 cases of unilateral cleft lip were analyzed, composed of 16 cases in the experimental group subjected to the modified West China method and 18 cases in the control group, which was subjected to the Millard method. Photographs before and after operation were compared, and SPSS 21.0 was used in statistical analysis.

Results

After operation, no significant difference in symmetry between the healthy and affected sides of the nasal alar foot (sba), nasal alar point (al), lip peak point (cph), and mouth angle point (ch) in the experimental group (P>0.05), but no significant difference in symmetry was found between healthy and affected sides of cph and ch in the control group (P>0.05). No significant differences in the symmetry rates of the sba, cph, ch and the nasal columella regression rates were found between the experimental and control groups (P>0.05). The symmetry rates of the al in the experimental group were higher (P<0.05).

Conclusion

For unilateral cleft lip repair, two methods had better effects on lip repair, but the nasal symmetry showed greater improvement when the modified West China me-thod was used than when the Millard method was used.

Key words: unilateral cleft lip, modified West China method, surgical effect

中图分类号:

R 782.2⁺1

刘晓琳, 王宇, 冯晓伟, 刘文静, 李向军. 华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果比较[J]. 华西口腔医学杂志, 2022, 40(3): 309-313.

Liu Xiaolin, Wang Yu, Feng Xiaowei, Liu Wenjing, Li Xiangjun.. Comparison of surgical effects between the modified West China method and Millard method in repairing unila-teral cleft lip[J]. West China Journal of Stomatology, 2022, 40(3): 309-313.

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参考文献 15

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项目	术前			术后
项目	健侧	患侧	P值	健侧	患侧	P值
sba-VML	0.881 5±0.144 5	0.754 7±0.161 4	0.005	0.654 8±0.099 3	0.594 2±0.141 9	0.082
al-VML	1.129 5±0.159 0	1.011 8±0.189 0	0.005	0.970 6±0.111 8	0.924 5±0.125 8	0.141
cph-VML	0.493 1±0.113 4	0.627 9±0.182 3	0.010	0.274 0±0.093 5	0.302 2±0.093 1	0.444
ch-VML	1.103 1±0.165 8	1.170 3±0.186 6	0.073	1.046 1±0.142 9	1.038 0±0.197 7	0.900

项目		术前			术后
项目	健侧	患侧	P值	健侧	患侧	P值
sba-VML	0.873 0±0.139 7	0.777 2±0.105 0	0.000	0.743 0±0.127 0	0.623 9±0.092 1	0.001
al-VML	1.104 8±0.114 2	0.960 4±0.188 1	0.000	1.012 4±0.110 7	0.869 0±0.087 7	0.000
cph-VML	0.403 0±0.145 0	0.610 9±0.105 0	0.000	0.246 5±0.090 2	0.276 1±0.065 3	0.391
ch-VML	0.973 4±0.169 1	1.100 1±0.127 1	0.012	0.981 6±0.167 5	0.928 2±0.147 6	0.168

项目	试验组/%	对照组/%	P值
sba	82.91±12.29	84.37±12.64	0.736
al	90.91±8.25	61.88±8.08	0.000
cph	71.76±23.02	62.98±18.70	0.286
ch	85.52±10.87	87.08±8.55	0.644
sn回归率	34.71±98.87	51.14±25.27	0.527

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华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果比较

Comparison of surgical effects between the modified West China method and Millard method in repairing unila-teral cleft lip

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