现代唇腭裂治疗学第四章唇裂修复术的临床与技能---唇腭裂咨询网

二、Barsky氏双侧唇裂整复术

Barsky氏双侧唇裂整复术是一种典型的以前唇底部作为手术中心，以侧唇白唇进行修复的前唇加长整复术。

设计定点：前唇缘中点相当于人中切迹处定点“1”，裂隙两侧前唇唇红缘相当于整复后唇峰的位置定点“2”、“2'”，鼻小柱两侧根部定点“3”、“3'”。两侧鼻翼根部定点“4”、“4'”。两侧唇缘的最厚处，相当于唇峰的位置定点“5”、“5'”。“6”、“6'”点位于唇缘上，两侧缝合后此点相当于唇弓中央点的位置，即人中切迹所在处。“7”、“7'”点位于“4”～“5”（“4'”～“5'”）点连线上，应使“5”～“7”（“5'”～“7'”）＝“1”～“2”（“1”～“2'”），“6”～“7”（“6'”～“7'”）的长度为上唇应增加的长度，一般为上唇全长的1/3。应使“6”～“7”（“6'”～“7'”）线与“4”～“5”（“4'”～“5'”）线成直角。

手术步骤：按上述定点划线全层切开唇组织，止血，并按“3”（“3'”）与“4”（“4'”），“5”（“5'”）与“2”（“2'”），“7”与“1”与“7'”的相互关系分层缝合粘膜肌层及皮肤。最后整复再造红唇（图4－8）。

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主要参考文献

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