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.
Objective To investigate the application of Haiao prosthodontics membrane in the repair of palatal fistula.Methods 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.Results Less blood loss,shorter operation time and shorter hospital stay were observed in the experimental group compared with the control group(<0.05).The incidence of fever after operation,the temperature and the duration of the fever were significantly lower in the experimental group(<0.05).The incidence of bleeding complications after operation in the experimental group were significantly lower compared with that in the control group(<0.05).No significant difference of the refissure rate and hospitalization expenses was found between the two groups(>0.05).Conclusion Haiao prosthodontics membrane can be used to repair some palatal fistula.Advantages include safety,reliability,mild postoperative reaction and quick recovery.
作者
张莉
赵东岩
刘华
ZHANG Li;ZHAO Dong-yan;LIU Hua(Dept.of Oral Surgery The Second People’s Hospital of Yunnan Province,Kunming Yunnan 650021,China;PCR Laboratory,The Second People’s Hospital of Yunnan Province,Kunming Yunnan 650021,China)
出处
《昆明医科大学学报》
CAS
2018年第2期112-116,共5页
Journal of Kunming Medical University
基金
云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2010CD187)
云南省医疗卫生单位内设研究机构基金资助项目(2014NS046)
关键词
海奥口腔修复膜
腭瘘修复术
材料相容性
Haiao prosthodontics membrane
Repair of palatal fistula
Material compatibility
