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目的:探讨医学美学原则在口腔颌面肿瘤手术中的应用价值。方法:选取临安市人民医院2006年1月-2013年12月收治的162例行口腔颌面肿瘤手术患者作为研究对象,均经过临床诊断,确诊为口腔颌面良性肿瘤。治疗医师根据患者疾病特点,应用医学美学原则对不同患者手术设计和实施,将所有患者分为两组,即观察组82例,行医学美学原则进行手术治疗,对照组80例,行普通外科手术进行治疗。结果:两组手术时间和术中出血情况方面,比较差异均无统计学意义(t=1.25,2.17,均P>0.05)。在术后感染方面,观察组的术后感染发生率显著低于对照组,经比较差异有统计学意义(χ~2=6.85,P<0.05)。术后随访,观察组患者对外观恢复效果的满意程度显著高于对照组,差异有统计学意义(χ~2=8.56,P<0.05)。结论:在口腔颌面肿瘤手术中应用医学美学原则,可以有效提高患者对外观恢复的满意程度,并减少术后感染的出现,效果确切,具有较高的应用价值,值得临床大力推广应用。
Objective: To explore the value of medical aesthetics principles in oral and maxillofacial tumor surgery. Methods: A total of 162 patients undergoing oral and maxillofacial surgery admitted from January 2006 to December 2013 in People ’s Hospital of Lin’an City were enrolled in this study. All patients underwent clinical diagnosis and were diagnosed as oral and maxillofacial benign tumors. According to the characteristics of patients’ diseases, the treating physicians designed and implemented the operation of different patients according to the principles of medical aesthetics. All the patients were divided into two groups, 82 cases in the observation group. Surgical treatment was performed according to the principles of medical aesthetics. 80 cases in the control group underwent general surgery For treatment. Results: There was no significant difference in operative time and intraoperative bleeding between the two groups (t = 1.25,2.17, all P> 0.05). In postoperative infection, the incidence of postoperative infection in the observation group was significantly lower than that in the control group (χ ~ 2 = 6.85, P <0.05). Postoperative follow-up, patients in the observation group were significantly more satisfied with the appearance restoration effect than those in the control group (χ ~ 2 = 8.56, P <0.05). Conclusion: Applying the principle of medical aesthetics in oral and maxillofacial tumor surgery can effectively improve the patients’ satisfaction with appearance recovery and reduce the occurrence of postoperative infection. The results are accurate and have high value for application. It is worthy of clinical promotion.