唇腭裂患者口腔修复后颌面部美观度及其术后并发症影响因素的分析OA
Analysis of Maxillofacial Aesthetic Degree of Patients with Cleft Lip and Palate after Oral Repair and Influencing Factors of Postoperative Complications
目的:探究唇腭裂患者口腔修复后颌面部美观度及其术后发病的影响因素.方法:回顾性分析2021年1月-2025年6月笔者医院收治的86例唇腭裂患者资料,其中完全性唇腭裂患者53例,不完全性唇腭裂患者33例.根据这些患者术后是否出现并发症分为对照组(49例,术后未出现并发症)和研究组(37例,术后出现并发症).末次手术后3个月,所有患者选择Asher-McDade鼻唇评价量表评估颌面部美观度,分析不同严重程度唇腭裂患者的颌面部美观度;统计感染、咬合紊乱以及继发畸形等术后发病情况,收集患者各项资料,单因素与多因素Logistic回归分析确定患者术后发病影响因素.结果:术后3个月,Asher-McDade鼻唇评价量表评分为(2.25±0.47)分,完全性唇腭裂患者Asher-McDade鼻唇评价量表评分均显著高于不完全性唇腭裂患者(P＜0.05);两组患者年龄、唇腭裂类型、手术时间、营养不良、口腔清洁频率等比较差异存在统计学意义(P＜0.05).多因素Logistic回归分析显示,年龄(OR=0.730)、唇腭裂类型(OR=1.548)、手术时间(OR=1.677)、口腔清洁频率(OR=0.663)是患者术后并发症的影响因素(P＜0.05).结论:唇腭裂患者口腔修复后颌面部美观度与其唇腭裂类型有关,年龄、唇腭裂类型、手术时间、口腔清洁频率等是患者术后产生并发症的影响因素,临床可以依据上述因素制定合适修复方案,同时加强术后管理,以便提高治疗效果.
Objective To explore the maxillofacial aesthetic degree of patients with cleft lip and palate after oral repair and analyze the influencing factors of postoperative morbidity.Methods A retrospective analysis was conducted on the data of 86patients with cleft lip and palate admitted to the hospital from January 2021 to June 2025.Among them,there were 53 patients with complete cleft lip and palate and 33 patients with incomplete cleft lip and palate.These patients were divided into the control group(49 cases,no complications after the operation)and the study group(37 cases,complications after the operation)based on whether complications occurred after the operation.Three months after the last operation,all patients selected the Asher-McDade Nasolabial Evaluation Scale to assess the aesthetic appearance of the maxillofacial region,and the aesthetic appearance of the maxillofacial region in patients with cleft lip and palate of different severity was analyzed.The postoperative morbidity conditions such as infection,occlusal disorder and secondary deformity were statistically analyzed.Various data of the patients were collected.Univariate and multivariate Logistic regression analyses were conducted to determine the influencing factors of postoperative morbidity in the patients.Results The score of Ashir-McDade nasolabial evaluation scale at 3 months after surgery was(2.25±0.47)points.Patients with complete cleft lip and palate demonstrated a significantly lower Ashir-McDade nasolabial evaluation scale score than patients with incomplete cleft lip and palate(P＜0.05).There were statistically significant differences between the two groups of patients in terms of age,types of cleft lip and palate,operation time,malnutrition,and frequency of oral hygiene(P＜0.05).Two cases experienced combined complications.Univariate and multivariate Logistic regression analyses indicated that age(OR=0.730),cleft lip and palate type(OR=1.548),surgical time(OR=1.677)and oral cleaning frequency(OR=0.663)were identified as influencing factors of postoperative morbidity(P＜0.05).Conclusion The maxillofacial aesthetic degree after oral repair in patients with cleft lip and palate is associated with the type of cleft lip and palate.Age,type of cleft lip and palate,surgical time and oral cleaning frequency are the influencing factors of postoperative morbidity.Clinically,it is necessary to formulate appropriate repair regimen according to the above factors,and strengthen postoperative management so as to enhance the therapeutic effect.
赵容利;周浩;李敏;杨倩;龙洋;张小红
宜宾市第二人民医院口腔颌面外科 四川 宜宾 644000宜宾市第二人民医院口腔颌面外科 四川 宜宾 644000宜宾市第二人民医院口腔颌面外科 四川 宜宾 644000宜宾市第二人民医院口腔颌面外科 四川 宜宾 644000宜宾市第二人民医院口腔颌面外科 四川 宜宾 644000宜宾市第二人民医院口腔颌面外科 四川 宜宾 644000
医药卫生
唇腭裂口腔修复颌面部美观度并发症影响因素
cleft lip and palateoral repairmaxillofacial aesthetic degreecomplicationsinfluence factor
《中国美容医学》 2026 (8)
29-32,4
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