[摘要]目的：比较“双拱”弹性支架与“2+2”支架在鼻尖成形术中的临床应用效果。方法：回顾性分析2022年1月-2023年8月笔者医院收治的100例行肋软骨综合鼻整形术就医者的临床资料。依据手术方式的不同分为观察组与对照组，各50例。观察组采用“双拱”支架鼻尖成形联合膨体植入鼻部的手术方式，对照组采用“2+2”鼻尖成形联合膨体植入鼻部的手术方式。对比两组手术时长、鼻尖突出度、鼻尖突出率，鼻尖活动度及美学满意度。结果：本组100例就医者均获随访9个月。观察组手术时长较对照组长(P<0.05)；观察组鼻尖突出度与对照组比较，差异无统计学意义(P>0.05)；观察组鼻尖突出率与对照组比较，差异无统计学意义(P>0.05)；观察组9个月的鼻尖活动满意度评分均高于对照组(P<0.05)。结论：“双拱”弹性支架鼻尖成形术是一种模拟鼻尖解剖结构的手术方式，与主流的鼻尖成形术比较，效果及稳定性可靠，需术者对手术有更细致的把控与更资深的经验，就医者的鼻尖活动度明显提升，是一种值得推广的鼻尖成形术。

    [关键词]鼻尖成形；鼻整形术；肋软骨皮质；“双拱”弹性支架；鼻翼软骨

    [中图分类号]R765.9 [文献标志码]A [文章编号]1008-6455(2024)08-0009-04

    Clinical Comparison of "Double-arch" Elastic Stent and "2+2" Stent for Nasal Tip Plasty

    XIA Zhiran1， ZHOU Congzhen2， PENG Dongliang3

    ( 1.Shanghai QianMei Medical Beauty Clinic， Shanghai 201100， China; 2.Department of Medical Beauty， Hangzhou Yixing Medical Beauty Hospital， Hangzhou 310012， Zhejiang， China; 3.Department of Medical Beauty， Guangzhou Strait Medical Beauty Hospital， GuangZhou 510000， Guangdong， China )

    Abstract： Objective To compare the effectiveness of "double-arch" elastic stent and "2+2" stent in nasal tip rhinoplasty. Methods The clinical data of 100 patients who underwent comprehensive rhinoplasty of costal cartilage treated in the author's hospital from January 2022 to August 2023 were retrospectively analyzed. According to the operation methods ......