[摘 要]目的 比较聚甲基丙烯酸甲酯(PMMA)注射与硅胶假体植入术在隆鼻术中的临床效果。方法 选取2021年9月-2023年5月苏州美莱美容医院收治的83例隆鼻术患者为观察对象，按照随机数字表法将患者分为对照组(n=41)与观察组(n=42)。对照组行硅胶假体植入术，观察组行PMMA注射隆鼻术，比较两组鼻整形效果、1年维持率及并发症发生率。结果 观察组鼻舒适、鼻形满意度评分高于对照组，手术疼痛度评分低于对照组，恢复时间短于对照组(P<0.05)；观察组鼻形维持率略低于对照组，但差异无统计学意义(P>0.05)；观察组术后1年内并发症发生率低于对照组(P<0.05)。结论 在隆鼻术中，PMMA注射可取得与硅胶假体植入术相似的鼻形维持率，且其能提升患者鼻舒适度、鼻形满意度，降低手术疼痛程度，具有较高的安全性。

    [关键词] 硅胶假体；聚甲基丙烯酸甲酯；隆鼻术

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)19-0088-04

    Comparison of Clinical Effects of Polymethyl Methacrylate Injection and Silicone Prosthesis Implantation in Rhinoplasty

    ZENG Xi

    (Department of Aesthetic Surgery， Suzhou Mylike Cosmetic Hospital， Suzhou 215000， Jiangsu， China)

    [Abstract]Objective To compare the clinical effects of polymethyl methacrylate (PMMA) injection and silicone prosthesis implantation in rhinoplasty. Methods From September 2021 to May 2023， 83 patients with rhinoplasty admitted to Suzhou Mylike Cosmetic Hospital were selected as the observation objects. The patients were divided into control group (n=41) and observation group (n=42) according to the random number table method. The control group underwent silicone prosthesis implantation ......