【摘要】 目的：分析自体鼻中隔软骨及耳软骨移植在鼻尖部整形应用中对鼻部美学指标的影响。方法：回顾性选取2019年1月-2023年8月笔者医院收治的80例鼻尖部整形就医者，根据手术方法不同分为膨体聚四氟乙烯(e-PTFE)组(38例)和软骨组(42例)。e-PTFE组使用e-PTFE假体行鼻尖整形手术，软骨组使用自体鼻中隔软骨及耳软骨行鼻尖整形手术。比较两组就医者手术时间、住院时间、鼻长度、鼻尖高度、鼻尖突出度、鼻额角、鼻唇角、满意度评分和并发症。结果：两组就医者手术时间和住院时间比较，差异无统计学意义(P>0.05)。两组就医者术后鼻长度、鼻尖高度、鼻尖突出度、鼻额角和鼻唇角与术前比较，差异均有统计学意义(P<0.05)；软骨组术后鼻尖突出度大于e-PTFE组(P<0.05)；两组术后鼻长度、鼻尖高度、鼻额角和鼻唇角比较，差异无统计学意义(P>0.05)。两组就医者术后满意度评分均高于术前，且软骨组高于e-PTFE组(P<0.05)。软骨组术后并发症发生率小于e-PTFE组(P<0.05)。结论：使用自体鼻中隔软骨及耳软骨行鼻尖整形手术可有效改善就医者鼻部美观，提升其满意度，降低术后并发症发生风险，安全可行。更多还原

【Abstract】 Objective To analyze the effects of the application of autologous nasal septal cartilage and auricular cartilage transplantation in nasal tip plasty on nasal aesthetic indicators.Methods A retrospective study was conducted.80 patients who underwent nasal tip plasty in the hospital from January 2019 to August 2023 were enrolled in this study.Among them,patients who underwent nasal tip plasty using expanded polytetrafluoroethylene (e-PTFE) prostheses were included in the e-PTFE group (n=38) and those who underwent nasal tip plasty using autologous nasal septal cartilage and auricular cartilage were included in the cartilage group.The two groups were compared on surgical time,length of hospital stay,nasal length,height of nasal tip,nasal tip protrusion,nasofrontal angle,nasolabial angle,satisfaction score,and complications.Results There was no statistically significant difference in surgical time or length of hospital stay between the two groups (P>0.05).There were statistically significant differences in nasal length,height of nasal tip,nasal tip protrusion,nasofrontal angle and nasolabial angle in each group before and after surgery (P<0.05).After surgery,nasal tip protrusion in the cartilage group was greater than that in the e-PTFE group (P<0.05).There was no statistically significant difference in nasal length,height of nasal tip,nasofrontal angle,or nasolabial angle between the two groups of patients after surgery (P>0.05).Satisfaction scores of both groups were higher after surgery than before surgery.The cartilage group had higher score than the e-PTFE group after surgery (P<0.05).The incidence of postoperative complications in the cartilage group was lower than that in the e-PTFE group (P<0.05).Conclusion Applying autologous nasal septal cartilage and auricular cartilage in nasal tip plasty can effectively improve the appearance of the patient’s nose,enhance patient satisfaction and reduce the risk of postoperative complications.It is safe and feasible.更多还原