摘要
目的探讨对口腔颌面部外伤患者经清创缝合治疗的技术要点及临床实践经验。方法2014年3月至2015年12月收诊264例口腔颌面部外伤患者。随机按1∶1分成2组,四手操作术式(132例,四手操作组)和常规术式(132例,常规术式组),分别对患者口腔颌面部的创口进行清创缝合治疗。考察2组的手术时间、椅旁工作时间,临床效果,术后并发症发生率及患者满意度。结果2组的手术时间、椅旁工作时间,差异均有统计学意义(P<0.05)。术后1个月复查发现,264例患者经清创缝合治疗后,98.11%(259/264)患者获得创口的临床愈合,其中Ⅰ级愈合252例(97.30%),Ⅱ级愈合7例(2.70%,7/259),四手操作组与常规术式组Ⅰ级愈合分别为130例(98.48%,130/132)和125例(94.70%,125/132),差异有统计学意义(χ2=14.050,P<0.05)。四手操作组与常规术式组术后并发症发生率分别为1例(0.76%)和5例(3.79%),差异有统计学意义(χ2=21.150,P<0.05)。四手操作组与常规术式组患者对治疗的满意度分别为93.94%(124/132)和81.82%(108/132),差异有统计学意义(χ2=7.180,P=0.007)。结论采用四手操作术式对口腔颌面部外伤患者进行清创缝合手术治疗可以更好地获得创口的甲级愈合,手术时间更短,缩短椅旁工作时间,术后发生创面感染等并发症的几率更低,可获得更高的患者满意度。
Objective To investigate the technical main points and clinical experience of debridement and suture in treatment of oral and maxillofacial trauma.Methods A total of 264 patients with oral and maxillofacial trauma,who were admitted and treated in our hospital from March 2014 to December 2015,were randomly divided into two groups according:four hands operation group(n=132)and routine operation group(n=132),and the patients were treated by debridement and suture for the oral and maxillofacial wounds.The operation time,chairside working time,clinical effects,the incidence of postoperative complications and patient’s satisfaction degree were observed and compared between the two groups.Results There were significant differences in the operative time and chairside working time between the two groups(P<0.05).At 1 month after the operation,among the 264 patients,98.11%(259/264)of patients had clinical wound healing,including gradeⅠhealing in 252 cases(97.30%),and gradeⅡhealing in 7 cases(2.70%,7/259).The gradeⅠhealing in four hands operation group and routine operation group was 130 cases(98.48%,130/132)and 125 cases(94.70%,125/132),respectively,the difference was statistically significant(χ2=14.05,P<0.05).After 1-month follow-up,the incidence of postoperative complications in four hands operation group and routine operation group was 1 case(0.76%,1/132)and 5 case(3.79%,5/132),respectively,the difference was statistically significant(χ2=21.15,P<0.05).The satisfaction degree in four hands operation group and routine operation group was 93.94%(124/132)and 81.82%(108/132),respectively,the difference was statistically significant(χ2=7.18,P<0.05).Conclusion The debridement and suture operation by four hands operation can achieve better grade I healing in treatment of oral and maxillofacial trauma,which can shorter operative time and chairside time,and decrease the incidence of postoperative wound infection and other complications,and increase higher satisfaction degree of patients.
作者
延凤茹
YAN Fengru(Department of Stomatology,The First Hospital of Fangshan District,Beijing 102400,China)
出处
《河北医药》
CAS
2019年第17期2606-2609,共4页
Hebei Medical Journal
关键词
口腔颌面部外伤
清创缝合
四手操作
oral and maxillofacial trauma
debridement and suture
four hands operation
