高密度多孔聚乙烯材料改良支架与自体耳软骨支架在鼻部整形中的效果对比
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亓麟(1982.1-),男,山东莱芜人,硕士,副主任医师,主要从事眼鼻整形工作

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R622


Effect Comparison of Modified High Density Porous Polyethylene Scaffold and Autologous Costal Cartilage Scaffold in Nasal Plastic Surgery
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    摘要:

    目的 对比高密度多孔聚乙烯材料改良支架与自体耳软骨支架在鼻部整形中的效果。方法 选取 2020年12月-2021年8月广州紫馨整形外科医院鼻部整形患者50例,依据支架类型分为高密度多孔聚乙烯材 料改良支架组(曼特波改良支架组)、自体耳软骨支架组两组,各25例。比较两组疼痛程度、手术时间、收 缩、感染情况、鼻部外形自主评分、鼻梁长度指数、鼻高度、鼻尖角、鼻额角、鼻唇角、ACP角、ATC角、整 形效果满意度。结果 曼特波改良支架组NRS评分、收缩率、感染率均低于自体耳软骨支架组,手术时间短于 自体耳软骨支架组(P<0.05);曼特波改良支架组鼻部外形自主评分、鼻梁长度指数、鼻高度、鼻额角均 高于自体耳软骨支架组,鼻尖角、鼻唇角、ACP角、ATC角均小于自体耳软骨支架组(P<0.05);曼特波改良 支架组整形效果满意度为96.00%,高于自体耳软骨支架组的68.00%(P<0.05)。结论 高密度多孔聚乙烯材 料改良支架在鼻部整形中的效果较自体耳软骨支架好,更能有效缓解患者疼痛,缩短手术时间,降低患者收 缩率、感染率,改善患者鼻部外形与功能,提升患者整形效果满意度。

    Abstract:

    Objective To compare the effect of modified high density porous polyethylene scaffold and autologous costal cartilage scaffold in nasal plastic surgery. Methods Fifty patients with nasal plastic surgery in Guangzhou Zixin Plastic Surgery Hospital from December 2020 to August 2021 were selected. According to the type of scaffold, they were divided into modified high density porous polyethylene scaffold group (modified Mantebo scaffold group) and autologous costal cartilage scaffold, with 25 cases in each group. The degree of pain, operation time, contraction, infection, nasal shape score, nasal beam length index, nasal height, nasal tip angle, nasal forehead angle, nasal lip angle, ACP angle, ATC angle, and satisfaction with plastic effect were compared between the two groups. Results The NRS score of the modified Mantebo scaffold group, the shrinkage rate and infection was lower than that of the autologous costal cartilage scaffold group (P<0.05). The self-rating score of nasal shape and the length index of nasal beam ,the nasal height and nasal frontal angle were higher than those in the autologous costal cartilage scaffold group, and the nasal tip angle, nasal lip angle, ACP angle and ATC angle were lower than those in the autologous costal cartilage scaffold group (P<0.05). The satisfaction of the modified Mantebo scaffold group was 96.00%, which was higher than 68.00 % of the autologous costal cartilage scaffold group (P<0.05). Conclusion The effect of modified high density porous polyethylene scaffold in nasal plastic surgery is better than that of autologous costal cartilage scaffold, which can effectively alleviate the pain, shorten the operation time, reduce the shrinkage rate and infection rate, improve the nasal shape and function, and improve the satisfaction of patients with plastic effect.

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亓 麟,林 瑶,张 昵,等.高密度多孔聚乙烯材料改良支架与自体耳软骨支架在鼻部整形中的效果对比[J].医学美学美容,2022,31(3):32-36.

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  • 在线发布日期: 2022-08-29