腭裂松弛切口两种处理方法的疗效对比

Cleft palate relaxation incision compared the efficacy of two treatment methods

目的:研究腭裂修复术后松弛切口填塞碘仿纱条法、裸露疗法两种方法对腭裂手术疗效的影响。方法:180例腭裂手术患者,随机分为两组。A组:松弛切口填塞碘仿纱条;B组:松弛切口行裸露疗法,不填塞任何材料。术后观察创口出血、创口愈合、体温、全身及局部反应等临床指标,并进行统计学分析。结果:A组与B组术后出血和创口愈合方面差异无统计学意义(P>0.05),在术后体温变化、全身及局部反应方面存在显著性差异(P<0.05)。结论:腭裂术后松弛切口的裸露疗法简单、实用、可靠,全身和局部反应轻,便于保持口腔卫生清洁,有利于患者的正常进食,值得临床推广应用。

Objective To study the effect of relaxation incision iodoform gauze and exposed therapy on the cleft palate repair after the surgery. Methods 180 cases of cleft palate surgery were randomly divided into two groups.Group A：iodoform gauze was filledin relaxation incision; Group B：Relaxation incision exposed therapy,any material was not filled in.After the repair surgery,observe wound bleeding,wound healing,body temperature,systemic and local reactions and other clinical indicators,and analyze them statistically. Results The difference of group A and group B in bleeding and wound healing after surgery showed no statistics meaning（P0.05）,but postoperative changes in body temperature,and systemic and local reactions showed significant difference （P 0.05）. Conclusion The exposed therapy in relaxing incision cleft palate is simple,practical,reliable,and systemic and local reactions are light.It is easy to maintain oral hygiene,good for patients＇ normal eating,and worth clinical application.