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目的探讨口轮匝肌功能重建修复单侧完全性唇裂的临床应用效果。方法选取我院近期收治的82例单纯性唇裂患者,其中的52例患者在应用唇裂修复术的同时采取口轮匝肌功能重建修复单侧完全性唇裂的方式进行治疗,为治疗组;另外的30例患者采取单纯性唇裂修复术进行治疗,为对照组。治疗结束后,对两组患者进行6个月时间的随访,测量对比两组患者治疗后的鼻唇外形。结果应用唇裂修复术同时采取口轮匝肌功能重建修复单侧完全性唇裂方式进行治疗的治疗组患者,在鼻唇对称性、上唇高度和鼻孔高度方面显著优于单纯采用唇裂修复术的患者(P<0.01),并且治疗组的患者在术后获得了比对照组患者更加满意的人中、鼻堤和红唇形态。结论应用唇裂修复术同时采取口轮匝肌功能重建修复单侧完全性唇裂能够有效地恢复患者口轮匝肌的连续性和生理功能,对于提高单侧完全性唇裂的临床效果具有重要的意义。
Objective To investigate the clinical application of orbicularis muscle reconstruction to repair unilateral complete cleft lip. Methods A total of 82 patients with simple cleft lip treated in our hospital were enrolled in this study. Among them, 52 patients were treated by cleft lip orbital muscle reconstruction and repairing unilateral complete cleft lip, as the treatment group. Thirty patients were treated with simple cleft lip repair as the control group. After the treatment, two groups of patients were followed up for 6 months, and the nasal and lip appearance of the two groups were compared after treatment. Results In the treatment group treated with orphan-orbicularis muscle reconstruction and repairing unilateral complete cleft lip, the patients treated with cleft lip repair had significantly better nasal lip symmetry, upper lip height and nostril height than those treated with cleft lip repair alone P <0.01), and the patients in the treatment group were found to be more satisfied with the shape of the dysentery and red lips after surgery than those in the control group. Conclusions It is important to improve the continuity and physiological function of the orbicularis oris muscle in order to improve the clinical effect of complete unilateral cleft lip.