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在唇裂手术后对口唇肌的定量超声波评估:病例对照研究
Michaela Bučkova1, Christiane Keil2, Kristin Heinze1
1Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Dresden, Germany.
概括
高分辨率超声波显示,在单侧唇裂 (UCLP) 修复后,婴儿的口腔裂侧肌肉 (OOM) 持续过度增生. 非裂纹侧显示正常的肌肉发育, 表明有针对性的手术方法可能是有益的.
科学领域:
- 面外科手术
- 儿童整形手术
- 医学成像
背景情况:
- 单侧口唇裂 (UCLP) 和隔离口唇裂 (CP) 是影响面部发育的常见先天性疾病.
- 主要的唇部修复是UCLP的关键早期手术干预.
- 对于了解长期结果,对周口肌肉发育的定量评估至关重要.
研究的目的:
- 使用高分辨率超声波测试,对患有UCLP后一次性唇部修复的婴儿进行定量评估.
- 将UCLP婴儿的OOM测量与具有单独CP的年龄匹配对照进行比较.
- 评估超声波对婴儿外腔肌肉形态的有效性.
主要方法:
- 一个涉及12名患有UCLP的婴儿和8名患有单独CP的年龄匹配对照的病例对照研究.
- 在全身麻醉下使用22MHz传感器的高分辨率超声波.
- 在上唇的两侧测量了OOM的肌肉厚度 (MT),高度 (MH) 和横截面积 (CSA).
主要成果:
- 与没有裂的婴儿相比,UCLP婴儿的裂侧的OOM截面面积 (CSA) 显著减少 (p=0. 05).
- 与对照组相比,UCLP婴儿的裂侧显著减少了OOM CSA (p=0. 02) 和肌肉厚度 (MT) (p=0. 05).
- 在UCLP婴儿的非裂侧和对照组之间没有发现显著差异,这表明未受影响侧的肌肉发育正常.
结论:
- 高分辨率超声波是一种安全,可靠和易于使用的工具,用于评估婴儿外腔肌肉形态.
- 在UCLP患者的初级唇部修复后,OOM的持续性低成形是明显的.
- 这些发现支持了超声波在纵向研究中的潜力,并可能为改善裂护理结果的手术技术选择提供信息.
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