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-  2017 

应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形的临床研究
Clinical Study on Application of Abbe Flap with Vascular Pedicle in Repairing the Secondary Deformity of Bilateral Cleft Lip.

DOI: 10.13701/j.cnki.kqyxyj.2017.05.012

Keywords: Abbe瓣,双侧唇裂,鼻唇畸形,

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Abstract:

摘要 目的:探讨应用保留血管蒂Abbe瓣修复双侧唇裂患者术后继发鼻唇畸形的方法及其临床效果。方法:选取双侧唇裂术后继发鼻唇畸形患者10例,由同一医师应用保留血管蒂Abbe瓣对其进行修复,测量术前术后患者鼻唇部的6项指标并分析,评估患者术后的效果及鼻唇部对称性。结果:患者术后均一期愈合,术后人中长度平均增加3.93 mm,人中宽度平均降低3.93 mm,全鼻宽平均降低1.69 mm,有显著统计学差异,上唇对称率达到97.29%,患者术后唇鼻外形恢复良好,接近正常。结论:应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形效果良好,可以显著改善唇鼻形态和对称性,适合广泛应用于临床

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