论文部分内容阅读
目的:探讨唇裂术后减张时间对唇裂切口瘢痕宽度的影响。方法:选择我院2010年6月~2013年6月期间收治的唇裂患者共80例,上述患者单侧不完全性Ⅱ度唇裂,随机分为观察组和对照组。2组患者均实施Millard法性唇裂手术,2组患者均在术后实施唇弓减张。2组患者唇弓减张时间不同,观察组患者的唇弓减张时间为拆线后继续实施唇弓减张4周,对照组患者拆线当天即去除唇弓,不再实施减张。2组患者均进行随访,随访时间超过6个月。结果:观察组患者中瘢痕分级阳性患者共7例,瘢痕分级阴性患者共33例;对照组患者中瘢痕分级阳性患者共21例,瘢痕分级阴性患者共19例。对照组患者中瘢痕分级阳性患者所占比例为52.5%;观察组患者中瘢痕分级阳性患者所占比例为17.5%。观察组患者中瘢痕分级阳性患者所占比例低于对照组,差异有统计学意义(P<0.05)。结论:唇裂术后减张时间对唇裂切口瘢痕宽度有显著影响,减张时间延长能够缩小瘢痕的宽度。值得借鉴。
Objective: To investigate the effect of the time of cleavage on the scar width of cleft incision. Methods: A total of 80 patients with cleft lip treated in our hospital from June 2010 to June 2013 were selected. The patients with unilateral incomplete cleft lip were randomly divided into observation group and control group. Two groups of patients were performed Millard lip cleft lip surgery, two groups of patients after the implementation of lip arch reduction. Two groups of patients with different time of lip bow varicosity, the observation group of patients with lip arch reduction time for the removal of the line after the continued implementation of lip bow stenosis 4 weeks, the control group stencil removed the same day the line is no longer implemented to reduce tension. The patients in both groups were followed up for more than 6 months. Results: In the observation group, there were 7 cases of scar-grading positive patients and 33 cases of scar-grading negative patients. In the control group, there were 21 cases of scar-grading positive patients and 19 cases of scar-grading negative patients. The proportion of patients with scar-grading in the control group was 52.5%. The percentage of patients with scar-grading in the observation group was 17.5%. The proportion of patients with grading scars in the observation group was lower than that in the control group, with significant difference (P <0.05). CONCLUSION: The time of cleft lip surgery has a significant effect on the scar width of cleft incision, and the prolonged stretch can reduce the width of scar. Worth learning.