中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
31期
8-9
,共2页
庞雪晶%唐春丽%兰柳萍%张玉萍
龐雪晶%唐春麗%蘭柳萍%張玉萍
방설정%당춘려%란류평%장옥평
无覆盖带蒂颊脂垫瓣%腭裂修复手术%松弛切口%碘仿纱条
無覆蓋帶蒂頰脂墊瓣%腭裂脩複手術%鬆弛切口%碘倣紗條
무복개대체협지점판%악렬수복수술%송이절구%전방사조
Uncovered pedicled buccal fat pad flap%Cleft palate repair surgery%Relaxing incision%Iodoform gauze
目的：探讨无覆盖带蒂颊脂垫瓣在儿童腭裂修复手术松弛切口中的临床应用价值,以提高患者临床治疗效果。方法选取该院2011年5月-2014年7月收治的60例行腭裂修复手术的患儿为研究对象,按照收治时间分为对照组与研究组各30例,对照组采用碘仿纱条疗法；研究组采用无覆盖带蒂颊脂垫瓣进行治疗,比对两组患者临床治疗效果及指标变化情况。结果研究组通过采用无覆盖带蒂颊脂垫瓣进行治疗,总有效率93.3%、并发症发生率20%,与对照组73.3%、40%相比较,差异具有统计学意义（P<0.05)；术后白蛋白（185.8±20.2)mg/L、持续低热时间（2.5±1.0)d,与对照组（202.7±19.5)mg/L、（5.5±1.5)d相比较,差异有统计学意义（P<0.05)。结论无覆盖带蒂颊脂垫瓣具有疗效确切、并发症发生几率低等特点,能够显著改善腭裂患儿症状,具有较高的临床应用价值,值得在今后临床工作中推广使用。
目的：探討無覆蓋帶蒂頰脂墊瓣在兒童腭裂脩複手術鬆弛切口中的臨床應用價值,以提高患者臨床治療效果。方法選取該院2011年5月-2014年7月收治的60例行腭裂脩複手術的患兒為研究對象,按照收治時間分為對照組與研究組各30例,對照組採用碘倣紗條療法；研究組採用無覆蓋帶蒂頰脂墊瓣進行治療,比對兩組患者臨床治療效果及指標變化情況。結果研究組通過採用無覆蓋帶蒂頰脂墊瓣進行治療,總有效率93.3%、併髮癥髮生率20%,與對照組73.3%、40%相比較,差異具有統計學意義（P<0.05)；術後白蛋白（185.8±20.2)mg/L、持續低熱時間（2.5±1.0)d,與對照組（202.7±19.5)mg/L、（5.5±1.5)d相比較,差異有統計學意義（P<0.05)。結論無覆蓋帶蒂頰脂墊瓣具有療效確切、併髮癥髮生幾率低等特點,能夠顯著改善腭裂患兒癥狀,具有較高的臨床應用價值,值得在今後臨床工作中推廣使用。
목적：탐토무복개대체협지점판재인동악렬수복수술송이절구중적림상응용개치,이제고환자림상치료효과。방법선취해원2011년5월-2014년7월수치적60례행악렬수복수술적환인위연구대상,안조수치시간분위대조조여연구조각30례,대조조채용전방사조요법；연구조채용무복개대체협지점판진행치료,비대량조환자림상치료효과급지표변화정황。결과연구조통과채용무복개대체협지점판진행치료,총유효솔93.3%、병발증발생솔20%,여대조조73.3%、40%상비교,차이구유통계학의의（P<0.05)；술후백단백（185.8±20.2)mg/L、지속저열시간（2.5±1.0)d,여대조조（202.7±19.5)mg/L、（5.5±1.5)d상비교,차이유통계학의의（P<0.05)。결론무복개대체협지점판구유료효학절、병발증발생궤솔저등특점,능구현저개선악렬환인증상,구유교고적림상응용개치,치득재금후림상공작중추엄사용。
Objective To investigate the clinical application value of uncovered pedicled buccal fat pad flap in pediatric cleft palate repair surgery relaxing incision so as to improve the clinical treatment effect on the patients. Methods 60 children with cleft palate repair surgery admitted in our hospital from May 2011 to July 2014 were selected as the subjects and divided into the con-trol group and the study group with 30 children in each according to the admission time. The control group was treated with iod-oform gauze, and the study group was treated with uncovered pedicled buccal fat pad flap. And the clinical treatment effect and changes of indicators were compared between the two groups. Results The total effective rate and incidence of complications in the study group treated by uncovered pedicled buccal fat pad flap was 93.3%, 20%, respectively, and that of the control group was 73.3%, 40%, respectively, the difference between the groups was statistically significant (P<0.05); the postoperative albumin and duration of low-grade fever was (185.8±20.2) mg/L, (2.5±1.0) d, respectively, and that of the control group was (202.7±19.5) mg/L, (5.5±1.5) d, respectively, the difference between the two groups was statistically significant (P<0.05). Conclusion Uncovered pedi-cled buccal fat pad flap has the characteristics of definite effect and low incidence of complications, which can obviously improve the symptoms of children with cleft palate with high clinical value, so it is worthy of clinical application and promotion.
