中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
6期
81-82
,共2页
高频电刀%腭裂%整复术%松弛切口
高頻電刀%腭裂%整複術%鬆弛切口
고빈전도%악렬%정복술%송이절구
High-frequency electric knife%Cleft palate%Pplastic prosthetics%Relaxation incision
目的 对电刀在幼儿腭裂整复术中松弛切口的应用效果进行总结.方法 对70例幼儿单侧完全性腭裂患者随机分成ab两组进行整复手术,其中a组腭裂整复术中双侧松弛切口均采用普通手术刀切开,b组双侧松弛切口均采用高频电刀切开,观察各组手术操作时间、出血量,松弛切口愈合时间,粘骨膜瓣成活情况,并进行比较.结果 b组手术时间较a组明显缩短(P<0.01),出血量较a组明显减少(P<0.01),两组松弛切口愈合时间无明显差异(P>0.05),两组粘骨膜瓣成活情况良好,无坏死现象.结论 高频电刀在幼儿腭裂整复术松弛切口的应用与普通手术刀切开相比较,松弛切口愈合时间,粘骨膜瓣成活情况无明显差异,但具有手术操作时间较短,出血量较少的优点,提高了手术安全性,值得推广应用.
目的 對電刀在幼兒腭裂整複術中鬆弛切口的應用效果進行總結.方法 對70例幼兒單側完全性腭裂患者隨機分成ab兩組進行整複手術,其中a組腭裂整複術中雙側鬆弛切口均採用普通手術刀切開,b組雙側鬆弛切口均採用高頻電刀切開,觀察各組手術操作時間、齣血量,鬆弛切口愈閤時間,粘骨膜瓣成活情況,併進行比較.結果 b組手術時間較a組明顯縮短(P<0.01),齣血量較a組明顯減少(P<0.01),兩組鬆弛切口愈閤時間無明顯差異(P>0.05),兩組粘骨膜瓣成活情況良好,無壞死現象.結論 高頻電刀在幼兒腭裂整複術鬆弛切口的應用與普通手術刀切開相比較,鬆弛切口愈閤時間,粘骨膜瓣成活情況無明顯差異,但具有手術操作時間較短,齣血量較少的優點,提高瞭手術安全性,值得推廣應用.
목적 대전도재유인악렬정복술중송이절구적응용효과진행총결.방법 대70례유인단측완전성악렬환자수궤분성ab량조진행정복수술,기중a조악렬정복술중쌍측송이절구균채용보통수술도절개,b조쌍측송이절구균채용고빈전도절개,관찰각조수술조작시간、출혈량,송이절구유합시간,점골막판성활정황,병진행비교.결과 b조수술시간교a조명현축단(P<0.01),출혈량교a조명현감소(P<0.01),량조송이절구유합시간무명현차이(P>0.05),량조점골막판성활정황량호,무배사현상.결론 고빈전도재유인악렬정복술송이절구적응용여보통수술도절개상비교,송이절구유합시간,점골막판성활정황무명현차이,단구유수술조작시간교단,출혈량교소적우점,제고료수술안전성,치득추엄응용.
Objective Electric knife for plastic surgery to repair cleft palate in child care during the application of the effect of relaxation incision summarize. Methods 70 cases of unilateral complete cleft palate children were randomly divided into two groups to carry out ab reconstructive surgery, One of a group of plastic repair of cleft palate in the bilateral relaxing incisions are ordinary scalpel incision,b bilateral relaxation incision group used high-frequency electric cut open, Observed in each group operation time, amount of bleeding, wound healing time for relaxation,visco-periosteal flap survived, and were compared. Results b group operative time was significantly shorter than a group (P<0.01), amount of bleeding decreased significantly over a group (P<0.01), two groups of relaxation incision healing time was no significant difference (P>0.05), two sets of flap survival sticky situation well, without necrosis. Conclusion High-frequency electric knife in the plastic repair of cleft palate children relaxation incision and application of the ordinary compared to scalpel incision, incision healing time of relaxation,visco-periosteal flap survival no significant difference in the situation,but with a shor-ter operation time,blood loss less advantages, improve surgical safety, is worth popularizing.
