单侧唇裂所致唇鼻部解剖结构改变的初步观察

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (5): 520-522.

单侧唇裂所致唇鼻部解剖结构改变的初步观察

夏春波¹, 　王伯钧²,　秦小云²

1.桂林医学院人体解剖学教研室，桂林 541004; 2.柳州医学高等专科学校第一附属医院口腔颌面外科，柳州 545002

收稿日期:2012-06-18 出版日期:2012-09-25 发布日期:2012-09-29
通讯作者: 王伯钧，E-mail：gywbj@163.com, Tel：13788228992 E-mail:xiachunbo910@163.com
作者简介:夏春波（1977-），男，硕士，副教授，硕士生导师，从事临床应用解剖学研究，Tel 13977378285
基金资助:
广西壮族自治区医疗卫生重点科研课题（重2010080）

Anatomical changes of lip and nasal organ in unilateral cleft lip: the initial observation

XIA Chun-bo¹，WANG Bo-jun²，QIN Xiao-yun²

1.Department of Anatomy，Guilin Medical college，Guilin 541004; 2. Department of Stomatology，The First Hospital Affiliated to Liuzhou Medical College，Liuzhou 545002, China

Received:2012-06-18 Online:2012-09-25 Published:2012-09-29

摘要/Abstract

摘要：

目的　探讨单侧唇裂鼻畸形的形态特点，为手术治疗提供理论依据。方法　观察60例单侧唇裂鼻畸形患儿唇鼻部的结构改变特征，测量上唇面积、主要线距变化等。结果　单侧唇裂患侧人中面积、侧唇面积、唇峰口角距及红唇嵴角均小于健侧（P＜0.05），鼻尖鼻底距和鼻小柱偏斜度Ⅲ度明显大于Ⅱ度（P＜0.05），Ⅲ度唇裂健侧唇裂隙缘唇峰点上移程度大于Ⅱ度，但差异无统计学意义（P＞0.05）。结论　单侧唇裂唇鼻部在健侧与患侧、Ⅱ度裂与Ⅲ度裂间差异较大，在手术设计中应加以注意。

关键词: 单侧唇裂鼻畸形, 形态特点, 手术设计

Abstract:

Objective　To investigate morphological characteristics of unilateral cleft lip nasal deformity，and provide a theoretical basis for the surgery. 　Methods　Structural changes in lip and nose of 60 children with unilateral cleft lip nasal deformity were observed. The upper lip area and the main line were measured and analyzed.　Results　The area of philtrum and lateral lip，the distance from labrum peak to angle of mouth and the angle of vermilion border were less than those of normal side（P＜0.05）; The distance from nasal tip to nasal floor and the columella skewness in cased of Ⅲ degree were larger than that in cases of Ⅱ degree（P＜0.05），as well the labrum peak shift，but the difference was not statistically significant （P＞0.05）.　Conclusions　For cases of unilateral cleft lip nasal deformity, morphological differences between Ⅱ degree and Ⅲ degree, healthy side and abnormal side are significant, which have to be dealt during surgical treating process.

Key words: Unilateral cleft lip nasal deformity, Morphological characteristics, Operational design

中图分类号:

R323.1

夏春波, 王伯钧, 秦小云. 单侧唇裂所致唇鼻部解剖结构改变的初步观察[J]. 中国临床解剖学杂志, 2012, 30(5): 520-522.

JIA Chun-Bei, WANG Ba-Jun, QIN Xiao-Yun. Anatomical changes of lip and nasal organ in unilateral cleft lip: the initial observation[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(5): 520-522.

[1]	胡哲, 张少杰, 王星, 李志军. 肋横突关节关节面的形态特点及其意义[J]. 中国临床解剖学杂志, 2014, 32(5): 538-543.
[2]	夏春波, 王伯钧, 韦进, 秦小云, 玉铭. 唇裂红唇形态学特征及其临床意义[J]. 中国临床解剖学杂志, 2014, 32(1): 22-25.
[3]	周冬根, 丁自海, 韩颖, 曹志明, 王木生, 刘志勇, 熊晓林. 鼻唇沟还原式手术设计的解剖学基础[J]. 中国临床解剖学杂志, 2011, 29(2): 171-173.