本文選題：不完全腭裂 + Sommerlad腭帆提肌重建術(shù)��； 參考：《中國(guó)修復(fù)重建外科雜志》2014年07期

【摘要】：目的通過(guò)與Von Langenbeck法比較,分析Sommerlad腭帆提肌重建術(shù)修復(fù)不完全腭裂后創(chuàng)面愈合情況,探討該術(shù)式對(duì)上頜生長(zhǎng)抑制的影響。方法以2005年6月-2011年8月,采用Sommerlad腭帆提肌重建術(shù)修復(fù)的54例不完全腭裂患兒作為試驗(yàn)組;2003年6月-2006年9月,采用Von Langenbeck法修復(fù)的89例患兒作為對(duì)照組。兩組患兒性別、年齡比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。比較兩組手術(shù)時(shí)間、術(shù)中出血量、術(shù)后體溫及發(fā)熱情況;隨訪(fǎng)腭部創(chuàng)面愈合情況,按照Karsten等的腭裂術(shù)后腭部瘢痕分級(jí)標(biāo)準(zhǔn)進(jìn)行分級(jí)。結(jié)果試驗(yàn)組手術(shù)時(shí)間為(72.2±5.5)min,較對(duì)照組(58.1±6.8)min延長(zhǎng);術(shù)中出血量為(18.6±6.5)mL,較對(duì)照組(34.2±10.2)mL顯著減少;差異均有統(tǒng)計(jì)學(xué)意義(t=4.494,P=0.000;t=2.447,P=0.000)。術(shù)后48 h內(nèi)試驗(yàn)組患兒最高體溫為36.6~37.6℃,平均36.9℃,其中發(fā)熱5例(9.3%);對(duì)照組為36.8~38.2℃,平均37.3℃,其中發(fā)熱21例(23.6%);兩組比較差異有統(tǒng)計(jì)學(xué)意義(χ2=4.640,P=0.030)。兩組患兒術(shù)后均獲隨訪(fǎng),其中試驗(yàn)組隨訪(fǎng)時(shí)間3~18個(gè)月,平均9個(gè)月;對(duì)照組隨訪(fǎng)時(shí)間3~6年,平均4年。術(shù)后3個(gè)月根據(jù)Karsten等的腭裂術(shù)后腭部瘢痕愈合分級(jí)標(biāo)準(zhǔn),試驗(yàn)組0級(jí)38例、1級(jí)13例、2級(jí)3例,對(duì)照組0級(jí)6例、1級(jí)35例、2級(jí)48例,比較差異有統(tǒng)計(jì)學(xué)意義(Z=—7.785,P=0.000)。結(jié)論與Von Langenbeck法相比,Sommerlad腭帆提肌重建術(shù)修復(fù)不完全腭裂創(chuàng)傷小、術(shù)后瘢痕愈合輕,提示對(duì)上頜生長(zhǎng)抑制影響較小。
[Abstract]:Objective to investigate the effect of Sommerlad palatine levator muscle reconstruction on maxillary growth inhibition by comparing with Von Langenbeck method. Methods from June 2005 to August 2011, 54 children with incomplete cleft palate were treated with Sommerlad levator palatalis reconstruction and 89 children with Von Langenbeck method as control group from June 2003 to September 2006. There was no significant difference in sex and age between the two groups (P0.05). The operative time, blood loss, body temperature and fever were compared between the two groups, and the wound healing of palatoplasty was followed up according to Karsten's criteria of cleft palate scar grading. Results the operative time was (72.2 鹵5.5) min in the trial group, which was longer than that in the control group (58.1 鹵6.8) min, and the intraoperative blood loss was (18.6 鹵6.5) mL, which was significantly lower than that in the control group (34.2 鹵10.2) mL. Within 48 hours after operation, the highest body temperature of the test group was 36.6 鈩，

本文編號(hào)：2069147