Millard法与Tennison法修复单侧完全性唇裂316例比较研究.docVIP

Millard法与Tennison法修复单侧完全性唇裂316例比较研究 　　[摘要]目的：通过两种不同的方法修复单侧完全性唇裂，比较其结果并基于不同唇裂形态学变化选择最优手术方法。方法：316例单侧完全性唇裂患者随机分为两组。每一组分别为158例患儿，分别采用Millard法和Tennison法行首次唇裂修复。术前唇鼻软组织测量并记录。通过白唇卷、唇红缘、丘比特弓、唇高、鼻孔对称性、鼻翼穹隆外观以及鼻翼基脚位置术后评估分析。结果：采用Preson-χ2检验分析关联性和线性趋势对两组患者进行比较。结果显示，Millard 法在鼻孔对称性和鼻翼形态方面效果显著（P=0.004,P=0.002），而Tennison法则在恢复唇高方面效果较为突出（P=0.003）。一种特殊的方法能很好的适用于某些唇裂解剖类型的观点在统计上不被证实。结论：某些术前唇裂解剖特点使得手术者选择一种特殊手术方法，但本研究发现这种特殊的手术方法本质上与其他方法是一样的。单一的手术修复方法并不能达到理想的美学和功能结果，而缝合技术与皮肤切口设计同样重要。 　　[关键词]Millard法；Tennison法；单侧完全性唇裂；对比研究 　　[中图分类号]R782 [文献标识码]A [文章编号]1008-6455（2014）09-0722-04 　　 　　Millard technique and Tennison technique for primary repair of unilateral complete cleft lip: A comparative study on outcomes in 316 patients 　　ZHOU Ting,WANG Tong-hai 　　(Department of Stomatology,the Second PeoplesHospital of Lianyungang city,Lianyungang222000,Jiangsu,China) 　　 　　Abstract:ObjectiveBackground It compares outcomes attained using two different technique used for primay closure of unilateral complete cleft lip and sought to identify the most appropriate technique for clefts of varying morphology. MethodsThree hundred sixteen patients were entered into the study. In each group of 158 patients, either Millard or Tennison technique was used. Analysis was based on postoperative assessment of the white roll,vermilion border,Cupids bow, lip length, and nostril symmery and appearance of the alar dome and base. Results Comparison of the two teams using Pearson chi-square testing for association and linear trend found a Millard technique gave significantly better results for nostril symmery and alar base, whereas the Tennison technique led to better postoperative lip length. The conceptions that one particular technique was better adapt to certain preoperative cleft anatomical forms were not proven statistically. ConclusionCertain preoperative anatomical features may lead the surgeon to choose one particular technique, but in this study, it was found that one technique was essentially as good as