祖秉毅(1981.7-),男,广东深圳人,本科,主治医师,主要从事鼻整形的研究
R765.9
目的 探究高密度多孔聚乙烯植入体在鼻整形中的应用价值方法 选取2019年5月-2021年8月我院接受综合鼻整形手术的106例患者为研究对象，采用照随机数字表法分为对照组和观察组，各53例。 对照组采用自体肋骨植入术，观察组采用高密度多孔聚乙烯植入体植入治疗，比较两组临床手术指标(手术时间、恢复时间)、整形优良率、鼻指标(鼻高度/鼻长度比例、鼻唇角)、并发症发生率以及疼痛评分结果 观察组手术时间、术后恢复时间均短于对照组(P＜0.05)；观察组整形优良率为94.34%，高于对照组的86.79%，差异有统计学意义(P＜0.05)；观察组鼻高度/鼻长度比例高于对照组，鼻唇角小于对照组，差异有统计学意义(P＜0.05)；观察组并发症发生率为5.66%，低于对照组的15.09%，差异有统计学意义(P＜0.05)；观察组疼痛评分低于对照组，差异有统计学意义(P＜0.05)；观察组治疗满意度为 96.23%，高于对照组的84.91%，差异有统计学意义(P＜0.05)结论 高密度多孔聚乙烯植入体在鼻整形中的应用效果理想，可减轻患者疼痛度，缩短手术和恢复时间，降低并发症发生率，改善鼻高度/鼻长度比例和鼻唇角，实现理想的整形效果。
Objective To explore the application value of high-density porous polyethylene implants in nasal plastic surgery. Methods A total of 106 patients undergoing comprehensive nasal plastic surgery in our hospital from May 2019 to August 2021 were selected as the research objects and randomly divided into the control group and the observation group, with 53 cases in each group. The control group was treated with autologous rib implantation, and the observation group was treated with high density porous polyethylene implants. The clinical operation indexes (operation time, recovery time), excellent and good rate of plastic surgery, nasal indexes (nasal height/nasal length ratio, nasal lip angle), complication rate and pain score were compared between the two groups. Results The operation time and postoperative recovery time of the observation group were shorter than those of the control group (P＜0.05). The excellent and good rate of plastic surgery in the observation group was 94.34%, which was higher than 86.79% in the control group, and the difference was statistically significant (P＜0.05). The ratio of nasal height/nasal length in the observation group was higher than that in the control group, and the nasolabial angle was lower than that in the control group, the difference was statistically significant (P＜0.05). The incidence of complications in the observation group was 5.66%, which was lower than 15.09% in the control group, and the difference was statistically significant (P＜0.05). The pain score of the observation group was lower than that of the control group, and the difference was statistically significant (P＜0.05). The treatment satisfaction of the observation group was 96.23%, which was higher than 84.91% of the control group, and the difference was statistically significant (P＜0.05). Conclusion The application effect of high-density porous polyethylene implants in nasal plastic surgery is ideal, which can reduce the pain, shorten the operation and recovery time, reduce the incidence of complications, improve the ratio of nasal height to nasal length and nasal lip angle, and achieve the ideal plastic effect.
祖秉毅,陈岩.高密度多孔聚乙烯植入体在鼻整形中的应用[J].医学美学美容,2022,31(1):97-100.
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