本文選題：腭裂 + 義齒�。� 參考：《重慶醫(yī)學(xué)》2017年26期

【摘要】：目的探討無覆蓋帶蒂頰脂墊瓣處理兒童腭裂修復(fù)手術(shù)中松弛切口的臨床應(yīng)用價(jià)值。方法選擇2010年5月至2012年7月于該院就診時(shí)被收治研的患兒共40例,在腭裂修復(fù)手術(shù)中分別采取無覆蓋帶蒂頰脂墊瓣移植(研究組,n=20)和碘仿紗條填充(對(duì)照組,n=20)處理松弛切口,比較術(shù)后腭瘺和發(fā)熱等并發(fā)癥。隨訪4年評(píng)估上頜骨發(fā)育。結(jié)果研究組18例患兒術(shù)后創(chuàng)口均達(dá)一期愈合,有效率為90%;對(duì)照組12例患兒創(chuàng)面愈合良好,有效率為60%,兩組有效率比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后1周觀察患兒創(chuàng)面,研究組2例(10%)創(chuàng)面血;對(duì)照組4例(20%)創(chuàng)面滲血,2例(10%)創(chuàng)面穿孔和2例(10%)腭瘺。兩組并發(fā)癥發(fā)生率比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后1個(gè)月,研究組患兒持續(xù)發(fā)熱時(shí)間較對(duì)照組更短(P0.05),研究組術(shù)后患兒血清hs-CRP水平比對(duì)照組低(P0.05)。術(shù)后隨訪4年,研究組患兒上頜骨發(fā)育較對(duì)照組明顯改善。結(jié)論應(yīng)用無覆蓋帶蒂頰脂墊瓣處理兒童腭裂修復(fù)手術(shù)中松弛切口可改善術(shù)后并發(fā)癥發(fā)生率和患兒上頜骨發(fā)育。
[Abstract]:Objective to evaluate the clinical value of flabby incision in the repair of cleft palate in children with buccal fat flap without covered pedicle. Methods from May 2010 to July 2012, 40 children with cleft palate were treated with uncovered buccal fat pad graft (study group) and iodoform gauze filling (control group). Postoperative complications such as palatal fistula and fever were compared. Maxillary development was evaluated after 4 years follow-up. Results the wound healing rate was 90% in the study group (n = 18) and 60 in the control group (n = 12). The difference between the two groups was statistically significant (P 0.05). 1 week after operation, the wounds were observed in the study group (n = 2), in the control group (n = 4, n = 20) the blood leakage was found in 2 cases (n = 10), the wound was perforated in 2 cases, and in 2 cases, there was a palatal fistula. There was significant difference in the incidence of complications between the two groups (P 0.05). One month after operation, the duration of fever in the study group was shorter than that in the control group, and the serum hs-CRP level in the study group was lower than that in the control group. After 4 years follow-up, the maxillary development in the study group was significantly improved than that in the control group. Conclusion the application of buccal fat flap without covered pedicle in the treatment of children with cleft palate can improve the incidence of postoperative complications and maxillary development in children with cleft palate.
【作者單位】： 云南省昆明市兒童醫(yī)院口腔科;
【分類號(hào)】：R782.2
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本文編號(hào)：1893439