[1]薛红宇,李东,秦荣生,等.国产膨体聚四氟乙烯在整形美容外科中的应用[J].中国微创外科杂志,2005,05(3):239-241.
　XueHongyu,LiDong,Qin Rongsheng,et al.Application of China-made expanded polytetrafluoroethylene in plastic and aesthetic surgery[J].Chinese Journal of Minimally Invasive Surgery,2005,05(3):239-241.
点击复制

国产膨体聚四氟乙烯在整形美容外科中的应用()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年3期
页码:
239-241
栏目:
出版日期:
2005-03-31

文章信息/Info

Title:
Application of China-made expanded polytetrafluoroethylene in plastic and aesthetic surgery
作者:
薛红宇; 李东; 秦荣生; 陈育哲; 尤维涛; 朱力; 张洁　
北京大学第三医院成形科,北京,100083
Author(s):
XueHongyu;  LiDong;  Qin Rongsheng;  et al.
Department ofPlastic Surgery, Peking UniversityThirdHospital, Beijing100083, China
关键词:
整形外科;  面部凹陷;  高分子材料;  膨体聚四氟乙烯(ePTFE)
Keywords:
Plastic surgery; 　Facial excavation; 　Macromoleculemateria; l　Expanded polytetrafluoroethylene(ePTFE)
分类号:
R622
文献标志码:
A
摘要:
目的评估国产膨体聚四氟乙烯(ePTFE)在整形美容外科中的临床效果. 方法采用国产ePTFE,以进口ePTFE作为对照,根据不同需要分别置于额部、颞部、鼻部、颏部、鼻基底及上颌部,矫正面部软组织缺损及凹陷畸形,比较2组术后伤口愈合、不良反应及临床效果. 结果试验组16例18个部位,术后随访6～9个月,其中1例(鼻部)因埋置过浅、过于接近切口继发感染而取出;1例(颏部)伤口愈合不良,假体外露,经换药后术后2周Ⅱ期愈合;其余病例临床观察未见明显过敏反应、炎症反应及排异反应,外形保持良好,满意率94.4%(17/18).对照组10例12个部位,术后随访6～9个月,1例(鼻部)假体外露取出,其余病例未出现异常情况,满意率为91.7%(11/12).2组在伤口愈合情况(χ2=1.109,P=0.574)、不良反应(P=1.000)和临床疗效(P=1.000)等方面均无显著性差异. 结论国产ePTFE具有良好的组织相容性,适合充填软组织,可作为安全而廉价的替代产品.
Abstract:
Objective　To evaluate the clinical efficacy of China-made expanded polytetrafluoroethylene (ePTFE) in the treatment of facial defects and hollow deformities on the face.　M ethods　Facial augmentationwas performed in different sites as the forehead, temple, nose, chin, nosal base and maxilla, respectively, to correct the facial defects and hollow deformities, by using eitherChina-made ePTFE (ExperimentalGroup) or imported ePTFE (ControlGroup). Postoperative parameters between the two groupswere compared.　Results　The ExperimentalGroup included 16 patients (18 sites), in whom the postoperative follow-up was conducted for6~9 months. In this group, a secondary infection ( in the nose) occurred in 1 patient because the implantwas placed too superficially and too close proximity to the incision, and the implantwas removed out. Delayed healing of the incision ( in the chin) with uncovered implantwas found in 1 patient, who was cured by the change of dressing. In the rest of the patients, no obvious allergic, inflammatory or rejection reactionwas seen and a good cosmetic resultwas achieved. The satisfactory rate of this group was 94. 4% (17/18). The ControlGroup included 10 patients (20 sites). The implantwas found bared and then removed in 1 patient ( in the nose). The satisfactory rate of this groupwas 91. 7% (11/12). Therewere no statisticaldifferences between the two groups in thewound healing (χ2=1·109,P=0·574), the adverse reaction (P=1·000), and the clinical efficacy (P=1·000).Conclusions China-made ePTFE gives histocompatibility as good as imported one. It is suitable for filling the soft tissue and can be used as a safe and economical alternative.

参考文献/References:

[1]Petroff MA,Goode RL,Levet Y.Gore-Tex implants: applications in facial paralysis rehabilitation and soft-tissue augmentation. Laryngoscope, 1992,102:1185-1189.
[2]祁佐良, 袁荣, 王炜. 膨体聚四氟乙烯的开发与整形. 实用美容整形外科杂志,1998,9:156-159.
[3]李东,李健宁,牛星焘,等.膨体聚四氟乙烯在整形外科的应用.中华整形外科杂志, 2001,17:43-45.
[4]Mole B. The use of Gore-Tex implants in aesthetic surgery of the face. Plast Reconstr Surg, 1992,97:200-206.
[5]Sheen JH. Rhinoplasty: personal valuation and milestone. Plast Reconstr Surg, 2000,105:1820-1852.
[6]Adamson PA. Grafts in rhinoplasty: autogenous grafts are superior to alloplastic. Arch Otolaryngol Head Neck Surg, 2000,126:561-562.

更新日期/Last Update: 2014-03-11