明胶海绵在腭裂修复中的应用

发布时间：2018-03-25 19:37

本文选题：腭裂　切入点：明胶海绵　出处：《中国组织工程研究》2017年18期

【摘要】：背景:在腭裂修复手术中,以往多采用碘仿纱条来填塞腭裂术后两侧松驰切口及覆盖创面。临床中作者发现,采用这种方法处理的患者,术后常出现发热、食欲不振、异物感、继发性出血等并发症。为避免或减少腭裂患者术后出现以上并发症,使用明胶海绵填塞双侧松弛切口,取得了良好的临床效果。目的:对比腭裂患者修复术中创面不同处理方法对伤口愈合效果的影响。方法:根据患儿入院时间,将110例腭裂手术患儿分为2组:2013年1月至2015年12月入院腭裂患儿54例为实验组,2008年1月至2012年12月入院腭裂患儿56例为对照组。实验组采用明胶海绵填塞创面,对照组应用碘仿纱包及碘仿纱条填塞创面,评估患儿术后精神、饮食、体温、创口出血及愈合等情况。术后4周复查,测量患者松弛切口处瘢痕条索宽度。结果与结论:(1)实验组精神、饮食恢复时间和出院时间短于对照组(P0.05);(2)实验组发热率明显低于对照组(P0.05),且发热时间短于对照组(P0.05);(3)实验组术后出血、恶心呕吐发生率明显低于对照组,差异有显著性意义(P0.05);(4)术后4周,实验组患儿松弛切口处瘢痕条索宽度明显窄于对照组,差异有显著性意义(P0.05);(5)结果表明,明胶海绵止血可靠,术后反应轻,伤口愈合快,不影响进食,具有较好的临床应用价值。
[Abstract]:Background: in the repair of cleft palate, iodoform gauze was used to fill both sides of incision and cover the wound after cleft palate surgery. The clinical authors found that the patients treated with this method often had fever, loss of appetite and foreign body sensation after operation. Complications such as secondary bleeding. In order to avoid or reduce the postoperative complications in patients with cleft palate, gelatin sponge was used to fill bilateral relaxation incision. Objective: to compare the effect of different treatment methods on wound healing in patients with cleft palate. Methods: according to the time of hospitalization, 110 children with cleft palate operation were divided into two groups: 54 children with cleft palate admitted to hospital from January 2013 to December 2015 as experimental group and 56 children with cleft palate admitted from January 2008 to December 2012 as control group. The experimental group was filled with gelatin sponge. In the control group, the wound was filled with iodoform gauze and iodoform gauze, and the mental state, diet, body temperature, wound bleeding and healing were evaluated. Results and conclusion the spirit of the experimental group was determined by measuring the width of scar line at the relaxation incision. The febrile rate in the experimental group was significantly lower than that in the control group, and the febrile time was shorter than that in the control group (P 0.05)) the incidence of postoperative hemorrhage, nausea and vomiting in the experimental group was significantly lower than that in the control group. 4 weeks after operation, the width of scar line at the relaxation incision in the experimental group was significantly narrower than that in the control group (P 0.05). The results showed that gelatin sponge was reliable in hemostasis, light in postoperative reaction and quick in wound healing. Do not affect food intake, has a good clinical application value.
【作者单位】：海南省人民医院口腔科;
【分类号】：R318.08;R782.2

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