腭裂松弛切口不同处理方法的比较

目的:比较腭裂修复手术松弛切口填塞可吸收性止血纱布和填塞碘仿纱条对患者术后的影响。方法:选择90例腭裂手术病例,术中填塞可吸收性止血纱布组50例,填塞碘仿纱条组40例,临床对比观察两组患者术后的体温变化、出血多少、创口愈合情况、饮食及术后并发症的发生情况。结果:填塞可吸收性止血纱布组术后体温升高发生率明显低于填塞碘仿纱条组(P<0.01);且创口愈合时间早于后组,恢复正常饮食时间较后组早,术后出血少。结论:腭裂松弛切口填塞可吸收性止血纱布比填塞碘仿纱条更有利于患者术后的康复。

Comparison of Different Disposals on Relief Incision of Palatorrhaphy

Objective: To compare the efficacy between filling the relief incision during palatorrhaphy with different material.Method: 90 patients were divided into two groups randomly.The first group which included 50 cases were treated with absorbable styptic gauze into bilateral incisions,while the second group which included 40 cases were treated with iodoform strip into bilateral incisions.Their body temperature changes,incision coalesce,diet and complications were observed and recorded.Results: The incidence of body temperature rise of the first group was lower than that of the second group significantly(P<0.01).Incision healing period of the first group was shorter than that of the second group,while time of recovering normal diet of the first group was earlier than that of the second group,and the incidence of postoperative hemorrhage in the first group was lower than that of the second group.Conclusion: It is of benefit to treat the relief incisions during palatorrhaphy with absorbable styptic gauze.