幼儿腭裂手术松弛切口应用高频电刀的疗效观察

目的对电刀在幼儿腭裂整复术中松弛切口的应用效果进行总结。方法对70例幼儿单侧完全性腭裂患者随机分成ab两组进行整复手术，其中a组腭裂整复术中双侧松弛切口均采用普通手术刀切开，b组双侧松弛切口均采用高频电刀切开，观察各组手术操作时间、出血量，松弛切口愈合时间，粘骨膜瓣成活情况，并进行比较。结果b组手术时间较a组明显缩短（P〈0．01），出血量较a组明显减少（P〈0．01），两组松弛切口愈合时间无明显差异（P〉0．05），两组粘骨膜瓣成活情况良好，无坏死现象。结论高频电刀在幼儿腭裂整复术松弛切口的应用与普通手术刀切开相比较，松弛切口愈合时间，粘骨膜瓣成活情况无明显差异，但具有手术操作时间较短，出血量较少的优点，提高了手术安全性，值得推广应用。

Child cleft palate surgery to relax the application of high frequency electric knife incision of the Clinical Observation

Objective Electric knife for plastic surgery to repair cleft palate in child care during the application of the effect of relaxation incision summarize. Methods 70 cases of unilateral complete cleft palate children were randomly divided into two groups to carry out ab reconstructive surgery, One of a group of plastic repair of cleft palate in the bilateral relaxing incisions are ordinary scalpel incision,b bilateral relaxation incision group used high-frequency electric cut open, Observed in each group operation time, amount of bleeding, wound healing time for relaxation,visco-periosteal flap survived, and were compared. Results b group operative time was significantly shorter than a group (P<0.01), amount of bleeding decreased significantly over a group (P<0.01), two groups of relaxation incision healing time was no significant difference (P>0.05), two sets of flap survival sticky situation well, without necrosis. Conclusion High-frequency electric knife in the plastic repair of cleft palate children relaxation incision and application of the ordinary compared to scalpel incision, incision healing time of relaxation,visco-periosteal flap survival no significant difference in the situation,but with a shor-ter operation time,blood loss less advantages, improve surgical safety, is worth popularizing.