带蒂颊脂垫瓣与碘仿纱条在腭裂松弛切口处理中的对比分析  

Comparative Analysis of Pedicled Buccal Fat Pad Flap and Iodoform Gauze in Cleft Palate Relaxation Incision

作　　者：尹小朋[1] 许慧芬 刘慧[1] 胡露露[1] 凌彬[1] 王冰[1] 邵博[1] 龚忠诚[1] YIN Xiao-peng1, XU Hui-fen2, LIU Hui1, HU Lu-lu1, LING Bin1, WANG Bing1, SHAO Bo1, GONG Zhong-cheng1(1.Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China;2.Department of Stomatology, Xinjiang Hospital of Occupation Disease, Urumqi830091,Xinjiang,Chin)

机构地区：[1]新疆医科大学第一附属医院颌面肿瘤外科,新疆乌鲁木齐830054 [2]新疆职业病医院口腔科,新疆乌鲁木齐830091

出　　处：《中国美容医学》2018年第7期108-111,共4页Chinese Journal of Aesthetic Medicine

基　　金：新疆维吾尔自治区自然科学基金(编号:2016D01C313)

摘　　要：目的:对比分析带蒂颊脂垫瓣与传统碘仿纱条在腭裂修补术中即刻充填覆盖裂隙两端松弛切口的作用和效果。方法:回顾分析2008年-2016年笔者科室诊治的148例先天性腭裂患者,随机分为带蒂颊脂垫瓣组(A组)和碘仿纱条组(B组)。其中A组采用带蒂颊脂垫瓣处理腭裂术后松弛切口,B组采用碘仿纱条处理腭裂术后松弛切口。对两组患儿术后发热、血红蛋白减少量、恶心、呕吐、松弛切口愈合时间进行对比分析。结果:B组患儿术后发热发生率明显高于A组,差异有统计学意义(P<0.05);B组患儿手术前后血红蛋白降低值较A组偏高(P<0.05);B组术后恶心、呕吐症状的发生率也较A组高(P<0.05);B组愈合明显较A组慢,差异有统计学意义(P<0.05);A、B两组术后腭瘘发生率差别无统计学意义(P>0.05)。结论:腭裂术后松弛切口采用带蒂颊脂垫瓣充填可有效降低常见术后并发症的发生,促进术区愈合。更加有利于患儿术后康复,值得临床推广应用。Objective The aim of this study was to analyze the effect of pedicled buccal fat pad flap for relaxation incision in the surgery in contrast with the filling with traditional iodoform gauze. Methods Retrospective analysis of the 148 cases of congenital cleft palate patients diagnosed and managed in our department. The sample was divided to two groups： pedicled buccal fat pad（group A） and iodoform gauze（group B）. Patients in group A were treated with pedicled buccal fat pad flap for relaxation incision, and patients in group B were deal with iodoform gauze. Then, two groups of children were analyzed in postoperative fever, bleeding, nausea, vomiting, healing of relaxation wounds. Results The incidence of fever was significantly higher in group B patients than that in group A patients（P〈0.05）; The decrease of hemoglobin in group B patients was higher than that in group A patients（P〈0.05）; The incidence of postoperative nausea and vomiting was higher in group B patients than that in group A patients（P〈0.05）; The wound healing in group B patients was significantly slower than that of group A patients（P〈0.05）; The difference between group A and group B was not statistic significant（P〉0.05）. Conclusion Cleft palate relaxation incision filling with pedicled buccal fat pad flap can effectively reduce the incidence of common postoperative complications, promote repaired area healing. This method is more conducive to postoperative rehabilitation, and it is worth in the clinical promotion.

关 键 词：腭裂 松弛切口 带蒂颊脂垫瓣 碘仿纱条 并发症 

分 类 号：R783.5[医药卫生—口腔医学]