摘要目的 探讨鼻翼帆船形皮瓣切除联合埋线法治疗重度鼻翼肥大的效果.方法 2008-2016年,东南大学附属中大医院整形外科对重度鼻翼肥大72例患者采用鼻翼帆船形切除联合埋线法治疗.术后随访1～6个月,并测量鼻翼长、高,鼻孔长、宽,鼻宽,以及用温哥华瘢痕量表(VSS)对局部瘢痕进行评分.结果 通过术前后比较,鼻翼长度及高度,鼻孔长度及宽度,鼻基底宽度与术前比较均有明显缩小(P＜0.05).术后6个月及术后1个月比较,各项数据差异无统计学意义(P＞0.05);VSS比较,评分明显降低(P＜0.05).结论 鼻翼帆船形切除联合埋线法治疗重度鼻翼肥大效果满意.

abstractsObjective To study the clinical effects of sailboat resection of nasal alar flap combined with catgut embedding in the treatment of severe hypertrophy of the nasal alar.Methods Patients with severe alar hypertrophy were photographed before operation,and the length of alar,the height of nasal ala,the length of nostrils and the width of nostrils were measured.After one month and half a year follow-up,the length of alar,nasal alar height,nostril length,nostril width and nasal width were measured,and the local scar condition was scored according to Vancouver scar scale (VSS).Results Through the combination of two kinds of surgical treatment of severe nasoalar hypertrophy,the surgical effect of satisfaction showed that,with the comparison before and after surgery,nose length and height,length and width of the nostril and the nasal base width were significantly reduced (P＜0.05) after half a year and one month after operation.The data showed no significant changes (P＞0.05),and so the postoperative effect could be sustained;local scar scale,after half a year and one month after operation,were significantly decreased (P＜0.05),and the postoperative long-term scar was not obvious.Conclusions The effect of alar sailboat-resection combined with catgut embedding therapy is satisfactory for the treatment of severe alar hypertrophy.It is one of the ways to treat severe alar hypertrophy.