医用组织胶水在儿童颌面部浅表性外伤处理中的应用
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黄方圆(1991.7-),男,江西赣州人,硕士,住院医师,主要从事小儿外科临床工作

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R64

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Application of Medical Tissue Adhesive in the Treatment of Superficial Maxillofacial Trauma in Children
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    摘要:

    目的 分析在儿童颌面部浅表性外伤处理中应用医用组织胶水的效果。方法 回顾性分析2023年 4月-9月广州医科大学附属妇女儿童医疗中心收治的151例颌面部浅表性外伤患儿临床资料,根据其外伤处 理方法不同分为参照组(n =33)和观察组(n =118)。参照组采用传统缝合,观察组采用医用组织胶水粘 合,比较两组操作指标、疼痛程度、预后效果及并发症发生率。结果 观察组操作时间短于参照组,配合 度评分高于参照组(P <0.05);观察组疼痛评分低于参照组(P <0.05);两组术后7 d甲级愈合率及术后 3个月瘢痕宽度比较,差异无统计学意义(P >0.05);观察组患儿家属满意度高于参照组(P <0.05);两 组并发症发生率比较,差异无统计学意义(P >0.05)。结论 在儿童颌面部浅表性外伤处理中应用医用组 织胶水可缩短操作时间,提高患儿配合度,有利于减轻疼痛程度,提高患儿家属满意度,且不影响愈合情 况及瘢痕宽度,不会增加不良反应发生风险,应用安全性良好。

    Abstract:

    Objective To analyze the effect of medical tissue adhesive in the treatment of superficial maxillofacial trauma in children. Methods The clinical data of 151 children with superficial maxillofacial trauma admitted to the Guangzhou Women and Children's Medical Center, Guangzhou Medical University from April to September 2023 were retrospectively analyzed. According to different trauma treatment methods, they were divided into the reference group (n =33) and the observation group (n =118). The reference group received traditional suturing, and the observation group received medical tissue adhesive for bonding. The operation indicators, pain degree, prognostic effect and complication rate were compared between the two groups. Results The operation time of the observation group was shorter than that of the reference group, and the compliance score was higher than that of the reference group (P <0.05). The pain score of the observation group was lower than that of the reference group (P <0.05). There were no significant differences in the grade A healing rate at 7 days after operation and scar width at 3 months after operation between the two groups (P >0.05). The satisfaction rate of children's families in the observation group was higher than that in the reference group (P <0.05). There was no significant difference in the incidence of complications between the two groups (P >0.05). Conclusion The application of medical tissue adhesive in the treatment of superficial maxillofacial trauma in children can shorten the operation time, improve children's compliance, help to reduce pain, and improve the satisfaction of children's families. It does not affect the healing status and scar width, nor increase the incidence of adverse reactions, with good application safety.

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黄方圆,何汉忠,肖玥.医用组织胶水在儿童颌面部浅表性外伤处理中的应用[J].医学美学美容,2025,34(12):54-57.

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  • 在线发布日期: 2025-08-12
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