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目的:探讨带蒂无覆盖颊脂垫瓣在儿童腭裂修复手术中的临床应用效果。方法:对38例1-8岁的腭裂患儿,应用腭裂常规术式进行手术修复,对暴露的松弛切口采取术中即刻游离单侧或双侧带蒂颊脂垫瓣,移植填塞于双(单)侧松弛切口骨组织与粘膜组织暴露创面,对其预后及并发症进行观察。结果:38例带蒂无覆盖颊脂垫瓣全部成活,手术后上腭外形、色泽良好,未见并发症发生。结论:带蒂无覆盖颊脂垫瓣血供丰富,抗感染能力较强,可减轻儿童术后出血、疼痛,恢复快,成活率高,应用在儿童腭裂修复术中填塞松弛切口,效果良好。
Objective: To investigate the clinical application of pedicled buccal fat pad pedicled pedicled pedicle flap in pediatric patients with cleft palate repair. Methods: Thirty-eight children aged 1-8 years old with cleft palate were surgically repaired with conventional cleft palate surgery. The unilateral or bilateral pedicled buccal fat pad flap was applied immediately to the exposed incision, Single) side of the open incision bone tissue and mucosal tissue exposed wound, its prognosis and complications were observed. Results: Thirty-eight cases of pedicled buccal fat pad pedicled all survived. After operation, the palate showed good appearance and no complications occurred. CONCLUSION: Pedicled buccal fat pad pedicled with blood supply is rich in blood supply, strong anti-infective ability, can reduce postoperative bleeding, pain, rapid recovery, high survival rate, applied in children with cleft palate repair loose wound incision, the effect is good.