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目的研究腭裂术后松弛切口两种不同处理方法的患者术后反应及愈合情况。方法将2007年8月至2009年7月在安徽省蚌埠医学院第一附属医院口腔科住院治疗的腭裂患者185例随机分为治疗组(93例)和对照组(92例),治疗组患者术后松弛切口内置入明胶海绵并进行对位缝合;对照组按照传统方法填塞碘仿纱条。比较两组患者术后体温、出血、进食、创口愈合等情况。结果治疗组患者术后1例感染,12例发热,8例继发性出血;对照组术后12例感染,35例发热,25例继发性出血;两组间比较差异有统计学意义。治疗组1例术后穿孔,而对照组术后5例穿孔,两组术后均无复裂患者;两组间差异无统计学意义。结论松弛切口内置入明胶海绵并进行对位缝合有利于腭裂术后恢复,是比较好的一种方法。
Objective To study the postoperative response and healing of two different treatments of cleft palate cleft incision. Methods 185 patients with cleft palate hospitalized in Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Anhui Province from August 2007 to July 2009 were randomly divided into treatment group (n = 93) and control group (n = 92) Gelatine sponge was placed in the postoperative relaxation incision and paraffin suture was performed. The control group was stuffed with iodoform gauze according to the traditional method. The postoperative patients’ body temperature, bleeding, eating and wound healing were compared between the two groups. Results One patient was infected in the treatment group, 12 were fever and 8 were secondary hemorrhage. In the control group, 12 patients were infected with postoperative infection, 35 with fever and 25 with secondary hemorrhage. The difference between the two groups was statistically significant. One patient in the treatment group was perforation postoperatively, while the other five patients in the control group were perforation postoperatively. There was no postoperative rupture in both groups. There was no significant difference between the two groups. Conclusion Relaxing incision built gelatin sponge and paraposition suture is conducive to postoperative recovery of cleft palate, is a better method.