海奥口腔修复膜在腭瘘修复中的应用
An Application of Haiao Prosthodontics Membrane in the Repair of Palatal Fistula
-
摘要: 目的 探讨应用海奥口腔修复膜在腭瘘修复术中的应用.方法 选取腭瘘病人32例, 根据患者意原随机分为实验组 (n=15例) 采用瘘口周围组织瓣翻转作为鼻腔层+海奥口腔修复膜作为口腔层修复腭瘘.对照组 (n=17例) 采用瘘口周围组织办翻转作为鼻腔层+转移局部邻位组织瓣作为口腔层修复腭瘘.评估患者术中失血量, 手术时间, 住院时间, 术后发热情况, 术后并发症及住院费用等指标.结果 实验组术中失血量, 手术时间, 住院时间均明显低于对照组, 差异有统计学意义 (P<0.05) .实验组术后发热率, 体温值及发热持续天数也明显低于对照组 (P<0.05) , 术后并发症出血率, 也是实验组明显低于对照组 (P<0.05) , 术后复裂率及住院费用等两组无显著性差异 (P>0.05) .结论 海奥口腔修复膜可以用于某些腭瘘的修复术, 并具有安全, 可靠, 术后反应轻, 恢复快等优势.Abstract: Objective To investigate the application of Haiao prosthodontics membrane in the repair of palatal fistula. Me thods According to personal preference, 32 patients with palatal fistula were randomly divided into the experimental group (n=15 cases) and the control group (n=17 cases) . In the experimental group, the flap of the surrounding tissue of fistula was used as nasal layer and Haiao prosthodontics membrane was used as the oral layer for the repair of palatal fistula.In the control group, the flap of the same tissue was used as nasal layer and the flap of the ortho tissue was used as the oral layer to repair the palatal fistula. Several indexes were evaluated including the blood loss, operation time, hospitalization time, postoperative fever, postoperative complications and hospitalization expenses. Re s ults Less blood loss, shorter operation time and shorter hospital stay were observed in the experimental group compared with the control group (P <0.05) . The incidence of fever after operation, the temperature and the duration of the fever were significantly lower in the experimental group (P <0.05) . The incidence of bleeding complications after operation in the experimental group were significantly lower compared with that in the control group (P<0.05) . No significant difference of the refissure rate and hospitalization expenses was found between the two groups (P > 0.05) .Conclus ion Haiao prosthodontics membrane can be used to repair some palatal fistula. Advantages include safety, reliability, mild postoperative reaction and quick recovery.
-
[1]张志愿, 愈光岩.口腔颌面外组织外科学[M].第7版.北京:人民卫生出版社, 2012:482. [2]秦永平, 王春燕, 赵振民.腭瘘的发病与修复进展[J].中国美容医学, 2008, 17 (8) :1246-1249. [3]张健, 郑雪飞, 雷韦.软硬腭粘膜瓣修复腭瘘临床研究[J].中华实用诊断与治疗杂志, 2014, 28 (8) :758-759. [4]薛媛, 但甲华, 但卫华, 等.口腔修复膜的研究进展及其应用[J].生物医学工程与临床杂志, 2016, 20 (1) :101-104. [5]张波, 李健, 刘韦.472例腭裂患者术后并发症发生的原因及防治措施[J].海南医学杂志, 2013, 24 (2) :266-268. [6]肖文芝, 刘华, 骆琦, 等.云南省先天性唇腭裂4811例流行病学分析[J].昆明医科大学学报, 2015, 36 (4) :27-30. [7]王垄, 李承浩.唇腭裂手术治疗[M].北京:人民军医出版社, 2015:157. [8]郑先雨, 何安才.硬腭粘骨膜瓣翻转衬里修复腭瘘的疗效评价[J].中国美容医学杂志, 2014, 23 (10) :808-810. [9]刘涛, 孙坤, 李爱群.带蒂颊脂垫瓣的临床应用[J].中国医疗美容杂志, 2014, 3 (14) :30-31. [10]莫海雁, 黎冻, 周翔, 等.提高腭瘘鼻腔面封闭成功率的临床体会[J].实用口腔医学杂志, 2013, 29 (3) :439-440. [11] [11]FOWLER E B, BREAULT L G, REBITSKI G.Ridge preservation utilizing an acellular dermal allograft and demineralized freeze-dried bone allograft:Part II.Immediateendosseous implant placement[J].J Periodontol, 2000, 71 (8) :1360-1364. [12]金鑫, 徐文华, 陈新, 等, 海奥口腔修复膜预防味觉出汗综合的疗效观察[J].安徽医药杂志, 2013, 17 (7) :1128-1129. [13]张健, 李锐, 卞春梅口腔修复膜在口腔粘膜缺损24例中的应用[J].交通医学, 2011, 25 (5) :523-524. [14]刘琳.口腔修复膜的口腔粘膜缺损中的应用[J].河北医药, 2015, 37 (9) :2592-2593. [15]傅成扬, 蒋锋, 刘家武, 等.异种脱细胞真皮基质修复口腔黏膜组织缺损105例的临床观察[J].中华损伤与修复杂志, 2011, 6 (5) :65-66. [16]李敬东.微创医学研究[J].川北医学院学报, 2012, 27 (5) :417. [17]刘洪臣.口腔微创医学[J].中华老年口腔医学杂志, 2017, 15 (1) :26. [18]刘洪臣.微创医学与口腔微创医学[J].口腔颌面修复学杂志, 2017, 18 (2) :65-67. -
点击查看大图
计量
- 文章访问数: 2358
- HTML全文浏览量: 856
- PDF下载量: 95
- 被引次数: 0
下载:
