腭裂术后松弛切口不同处理方法的临床分析

Clinical analysis of different treatments to the relax cut after palatorrhaphy

目的研究腭裂术后松弛切口不填塞任何物质及填塞碘纺纱条与填塞明胶海绵三种方法对腭裂患者的影响。方法选择我科近5年来148例患者为研究对象，分成三组。A组松弛切151不填塞任何物质，B组填塞碘纺纱条，C组填塞明胶海绵，观察术后创口出血、体温、创口愈合情况、主观感受等临床指标并进行统计学分析。结果统计学分析证实，A、C两组各项指标差异无统计学意义（P〉0．05），A、C组与B组出血及复裂穿孔方面差异无统计学意义。在术后体温变化方面差异有统计学意义（P〈0．05），创口愈合时间A、C组早于B组。结论松弛切口不填塞任何物质在出血及复裂方面与填塞组差异无统计学意义，并有术后发热少、主观症状好、创口愈合快等优点，可操作性强，值得临床推广。

Objective To evaluate the effect of different treatment to the relax cut after palatorrhaphy to the cleft palate patients. Methods One hundred and forty-eight patients were divided into three groups randomly. The patients were not packed any matter in the relax cut after palatorrhaphy in A group, the patients were packed iodoform gauze in B group, and the patients were packed gelatin sponge in C group. We observed the indexes to these patients including wound bleeding, body temperature, wound healing and subjective reception, and carried out the statistics analysis. Results There was no significant difference in each index between A group and C group（P〉0.05）. There was no significant difference in the indexes including wound bleeding and rima perforation between A group and B group, C group and B group, but there was significant different in the body temperature change and wound healing after palatorrhapby between them （P〈0.05）. The wound healing time in A group and C group was more short than in B group. Conclusion The patients of A group is no difference with the method that the patient was packed some matter in the relax cut and it has some other advamtages including fever is few, subjective reception is good and the wound healing time is short, it deserve to be spreaded.