儿童唇部软组织创伤整形修复192例.docVIP

儿童唇部软组织创伤整形修复192例[摘要]目的:探讨儿童唇部软组织创伤的特点及利用整形外科技术对软组织创伤急症修复的临床效果。方法:对192例儿童唇部软组织创伤进行总结,以微创为原则,修整伤口,精细缝合,并根据软组织损伤的情况,采用适当的修复方法。结果:受伤儿童主要为5岁以下,其中1～3岁为高危人群。男性患儿明显高于女性患儿,比例为2.10:1。192例患儿术后伤口愈合好,表面平整,无明显的瘢痕增生,无需II期修复。结论:应用整形外科技术修复儿童唇部软组织外伤急症,是修复面部软组织外伤急症的较好方法。 [关键词]整形外科技术;面部外伤急症;软组织创伤 [中图分类号]R782 [文献标识码]A [文章编号]1008-6455(2010)06-0845-03 Lip trauma repairment of 192 pediatric patients using plastic surgery method WANG Xin-gang1,WU Di2,YU Guo-xia1,ZHU Hong1,ZHAO Zhen-min2 (1.Department of Oral and Maxilofacial Surgery,Beijing Children’s Hospital,Capital Medical University,Beijing 100045,China;2.The First Department of Plastic Surgery Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences) Abstract:ObjectiveTo investigate clinical characteristics of lip trauma in children;To explore clinical effectiveness of repair of lip trauma in children by using plastic surgery techniques. Methods 192 pediatric patients with lip trauma treated at Department of Oral and Maxilofacial Surgery were investigated;Using sterile and non-invasive principles,these patients were treated with fine suture.According to the type of defect of the soft tissue, operations were adopted to repair the traumas.Results Children under 5 age,accounted for most of lip traumas,especially 1～3 ayears children.The ratio of male to female was 2.10:1.All 192 cases healed primarily and showed no obvious scar formation,or traction of facial organs. ConclusionIt is better to repair facial soft tissue injury using plastic surgery. Key words:plastic surgery technique;emergency trauma of face;softtissue trauma 口腔颌面部是人体突出和暴露的部分,意外情况下容易受到损伤,导致面部软组织损伤,极大地影响了患者的容貌及生活质量。口腔软组织损伤是儿童常见急症之一,在儿童头颈部软组织损伤中,最常见的是唇部软组织损伤[1-2]。本文对首都医科大学附属北京儿童医院口腔门诊收治的192例唇部软组织创伤患儿进行了总结和分析,应用整形外科的原则和缝合技术处理,取得了满意的临床效果。 1资料和方法 1.1临床资料:本组患者共192例(男130例,女62例),小于1岁的患者10例,1～2岁70例,2～3岁43例,3～4岁23例,4～5岁19例(具体年龄分布如图1);损伤类型为切割伤、挫裂伤、撕裂伤、刺伤等;损伤部位为上唇67例(包括上唇贯通伤2例),下唇113例(包括下唇贯通伤13例),上下唇外伤6例,口角外伤6 例,有些患者同时有合并其它部位的损伤,较常见的有上下前牙