157例维吾尔族腭裂患者修复术松弛切口三种处理方法的临床疗效观察  

Clinical effect of 157 methods of treatment of three cases of cleft palate repair of cleft palate

作　　者：胡明委 赵丽琴[1] 马龙[1] 吴德胜[1] 

机构地区：[1]新疆生产建设兵团第三师医院口腔科,新疆喀什844000

出　　处：《中国医疗美容》2016年第12期53-56,共4页China Medical Cosmetology

摘　　要：目的比较157例维吾尔族腭裂患者修复术后松弛切口不同方式处理方法的患者术后反应及愈后临床效果。方法将2008年1月-2015年12月在新疆生产建设兵团第三师医院口腔科微笑列车项目收治的157例腭裂患者的相关临床病例资料。按照松弛切口的不同处理方式,将纳入病例分为3组:碘仿纱条组(47例)、明胶海绵组(62例)及无填塞组(38例)。比较3组患者术后体温、创面出血、穿孔及复裂、创面感染及愈合情况,恶心、进食及口腔卫生情况等。结果 3组患者术后第1、3天发热发生率差异无统计学意义(P>0.05);而碘仿纱条组患者术后第5天发热发生率明显高于其他两组,有统计学意义(P<0.05);3组术后24 h内出血发生率差异有统计学意义(P<0.05);碘仿纱条组术后恶心、呕吐症状的发生率较其他两组明显增高(P<0.01);3组术后感染发生率差异无统计学意义(P>0.05);3组术后穿孔的发生率差异有统计学意义(P<0.01)。3组患者只有碘仿纱条组术后发生2例创面复裂无统计学意义(P>0.05)。结论松弛切口旷置法及填塞可吸收明胶海绵法疗效理想,适合临床推广。Objectives Comparison of 157 cases of cleft palate repair after the relaxation incision in different ways of treatment of patients with postoperative reaction and clinical effect.Methods： The related clinical case data of 157 patients with cleft palate treated in the department of Stomatology, the third division hospital of Xinjiang production and Construction Corps during Jan 2008 to Dec 2015 （smile train project） were collected. These cases were divided into 3 groups： iodoform gauze group （57 cases）, gelatin sponge group （62 cases） and non packing group （38 cases） according to the different treatment meatures to releasing incision. The post- operation temperature, bleeding, perforation and re-crack, the condition of infection and healing of the wound, nausea, eating and oral hygiene of the 3 groups were compared. Results： As for the occurrence rate of fever, these was no significant difference between the 3 groups at the first and third day after operation （P〉0.05）.However, at the fifth day after operation the occurrence rate of fever of the iodoform gauze group was significantly higher than the other groups P〈0.05）. As for the occurrence rate of bleeding, these was no significant difference between the 3 groups within 24 hours after operation （P〉0.05）.The occurrence rate of nausea and vomiting of the iodoform gauze group was significantly higher than the other groups （P〈0.01） after operation. As for the occurrence rate of infection of the wound, these was no significant difference between the 3 groups after operation （P〉0.05）. As for the occurrence rate of perforation, these was significant difference between the 3 groups after operation （P〈0.01）. As for the occurrence rate of re-crack of the wound, these was no significant difference between the 3 groups after operation, with only 2 cases had re-crack in the iodoform gauze group （P〈0.01）.Conclusions： gelatin sponge method and non packing method had a good clinical result, which were suitable for

关 键 词：腭裂修复 松弛切口 明胶海绵 碘仿纱条 

分 类 号：R782.22[医药卫生—口腔医学]