内皮缝合和常规对位缝合在口腔颌面部软组织损伤治疗中的效果对比

Comparison of the effects of endothelial suture and conventional suture in the treatment of oral and maxillofacial soft tissue injuries

目的:探讨内皮缝合和常规对位缝合在口腔颌面部软组织损伤治疗中的临床效果。方法:选取100例口腔颌面部软组织损伤患者,按照随机数字法分为研究组和对照组各50例,对照组患者采用常规对位缝合治疗而研究组采用内皮缝合治疗。比较两组患者临床效果、并发症情况、患者满意度及焦虑/抑郁(HAD)情绪测定表评分。结果:研究组患者满意度评分高于对照组[(92.34±2.16)分vs(78.64±4.53)分,P<0.05]。研究组并发症发生率(6.00%vs 20.00%)、治疗1周及1个月时焦虑/抑郁状态比例显著低于对照组(P<0.05)。结论:两种方法的疗效基本一致,但内皮缝合并发症发生率低,对患者心理影响较小,患者满意度较高,值得在临床上推广使用。

Objective： To investigate the clinical efects of endothelial suture and conventional suture in the treatment of oral and maxillofacial soft tissue injury. Methods： One hundred cases of patients with oral and maxillofacial soft tissue injury were selected and randomly divided into a study group and a control group with 50 cases each. The control group was treated with conventional suture while the study group with endothelial suture. The clinical efects, complications, patient satisfaction and anxiety/depression （HAD） scores were compared between the two groups. Results： The patient satisfaction scores were higher in the study group than in the control group [（92.34±2.16） vs （78.64±4.53）, P〈0.05]. The incidence of complications （6% vs 20%）and anxiety/depression ratio at one week and one month after treatment were signifcantly lower in the study group than in the control group （P〈0.05）. Conclusion： The curative efects of the two methods are basically same, however, endothelial suture possesses lower incidence of complication, less psychological impact on patients with a higher patient satisfaction, and is worthy of promotion in clinic.