[摘 要]目的 观察鼻整形鼻尖塑形中应用自体双侧软骨的效果及对鼻部形态的影响。方法 选取2019年1月-2024年5月长沙市雨花区逾美医疗美容有限责任公司雨花逾美医疗美容诊所行鼻整形手术患者366例为研究对象，均为女性。按照治疗方法不同分成对照组和观察组，每组183例。对照组采取单纯硅胶假体隆鼻术，观察组采取自体双侧耳软骨鼻整形术，比较两组鼻尖角A、鼻尖高度B、鼻长C及鼻形态优良率、手术指标。结果 观察组术后鼻尖角A小于对照组，鼻尖高度B、鼻长C大于对照组(P<0.05)；观察组鼻形态优良率为97.27%，高于对照组的87.98%(P<0.05)；观察组手术时间与对照组比较，差异无统计学意义(P>0.05)，但观察组创面愈合时间短于对照组(P<0.05)。结论 对有鼻整形鼻尖塑形需求的患者，采取自体双侧耳软骨可以获得较自然持久且令人满意的术后效果，保证优良的鼻形态，且可缩短创面愈合时间。

    [关键词] 自体耳软骨；鼻尖塑形；鼻整形

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)24-0100-04

    Application Effect of Autologous Bilateral Auricular Cartilage in Rhinoplasty Nasal Tip Shaping and its Influence on Nasal Morphology

    LI Zengchan

    (Yuhua Yumei Medical Cosmetology Co.， Ltd.， Yuhua Yumei Medical Aesthetic Clinic， Changsha 410000， Hunan， China)

    [Abstract]Objective To observe the application effect of autologous bilateral auricular cartilage in rhinoplasty nasal tip shaping and its influence on nasal morphology. Methods From January 2019 to May 2024， a total of 366 female patients who underwent rhinoplasty in Yuhua Yumei Medical Cosmetology Co.， Ltd.， Yuhua Yumei Medical Aesthetic Clinic were selected as the research subjects. According to different treatment methods ......