鼻中隔軟骨和肋軟骨在唇裂鼻畸形整復(fù)中的比較研究.pdf

1、南昌大學(xué)醫(yī)學(xué)院碩士學(xué)位論文鼻中隔軟骨和肋軟骨在唇裂鼻畸形整復(fù)中的比較研究姓名：宋志勇申請學(xué)位級別：碩士專業(yè)：外科學(xué)指導(dǎo)教師：李小林20100601AbstractABSTRACTObjective：Thepurposeofthisstudyistesearchaneffectivemethodtodealwiththecleftlipnasaldeformityinthecomparisonofthecorrectionofnasald

2、eformitiesofcleftlipwithapplicationofnasalseptalcartilageandcostalcartilageMethods：First，wemarkanewlocationofthenasaltipanddesigna”seagullshaped”incisioninnasalvestibuleandcolumellapositionanddissectbilateralalarcarlilag

3、eSecond，wemakeanasalstentwiththeseptalcartilageorcostalcartilagewhichiStakenfromtheirbodyCareshouldbetakenonadequatereleaseofthelateralcrurafromitsattachmentstothepyriform，anatomicalreconstructionofthemusclering，anatomic

4、alrepositionofthelateralcruraanddomewhenthenasalstentisimplantedAdjustthenasalcolumellaheight，nasaltipshapeandthewidthofthebottomandmakeitsymmetricalwithhealthmeasurementUsingthemethodofqualitativeanalysis，wehaveobserved

5、twogroupsofthepatientswithnasalbasewidthsymmetry，nosetip，nostrilshape，nasalcolumellaheight，nasaldorsumshapeandalarsymmetry，andthencomparedResults：therehasnostatisticalsignificanceinthewidthofthenasalbase，nostfilshape，the

6、improvementinalarsymmetrybetweenthegroupofthecleftlipnasaldeformitypatientswhoautogenousseptalcartilagewasimplantedandthegroupofthecleftlipnasaldeformitypatientswhoautogenouscostalcartilagewasimplantedTherehasstatistical

7、significanceinthenasalcolumellaheight，nasaldorsumshape，nasaltipbetweenthetwogroupsIn110months’followup，allthepatientshadnonasalincisioninfectioninthestudyCostalcartilagegrouppatientshavenoseriouscomplicationsofpneumothor

8、axandchestincisioninfection，indurationandSOonConclusion：ThegroupautogenouscostalcartilagewasgraftedtorepaircleftlipnasaldeformityhavebetterresultsthanthegroupautogenousseptalcartilageWassimplyimplantedintheshapeofthenose

9、TogetautogenousseptalcartilagedoesnotrequireasecondsurgicalfieIdTherehavealotofshortcomingswhicharenotacceptedbypatientswhenyougetautogenouscostalcartilage，suchasabigscarSowebelievethatthetwosurgicaltechniqueshavetheirad