[1]李慧敏,陆 慧,马 超,等.PBFPFHE和ADM在口腔颊黏膜软组织缺损修复中的价值探讨[J].中国美容医学,2022,(10):104-107.
 LI Huimin,LU Hui,MA Chao,et al.To Investigate the Value of PBFPF and ADM in the Repair of Buccal Mucosa and Soft Tissue Defects[J].Medical Aesthetics and Beauty,2022,(10):104-107.
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PBFPFHE和ADM在口腔颊黏膜软组织缺损修复中的价值探讨()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年10期
页码:
104-107
栏目:
出版日期:
2022-10-10

文章信息/Info

Title:
To Investigate the Value of PBFPF and ADM in the Repair of Buccal Mucosa and Soft Tissue Defects
文章编号:
1008-6455(2022)10-0104-04
作者:
李慧敏陆 慧马 超焦建军石 光柴丛娜
(邯郸市中心医院口腔颌面外科 河北 邯郸 056000)
Author(s):
LI Huimin LU Hui MA Chao JIAO Jianjun SHI Guang CHAI Congna
(Department of Oral and Maxillofacial Surgery, Handan Central Hospital, Handan 056000, Hebei, China)
关键词:
颊脂垫瓣异种脱细胞真皮基质口腔颊黏膜软组织缺损疗效
Keywords:
pedicled buccal fat pad flap acellular dermal matrix soft tissue defect of buccal mucosa treatment effect
分类号:
R782.2
文献标志码:
A
摘要:
目的:探讨颊脂垫瓣(Pedicled buccal fat pad flap,PBFPF)修复术和异种脱细胞真皮基质(Xenogeneic acellular dermal matrix,ADM)在口腔颊黏膜软组织缺损修复中的价值。方法:选取2019年2月-2020年6月在笔者医院治疗 的80例口腔颊部黏膜软组织缺损患者为研究对象,随机分为观察组(n=42)和对照组(n=38),观察组给予PBFPF修复术, 对照组给予ADM修复,观察两组患者的手术时间、吞咽功能及语音功能等。结果:观察组和对照组手术时间、胃管拔管时间和经 口进食时间比较,差异无统计学意义(P>0.05);观察组和对照组吞咽功能、语音功能比较,差异无统计学意义(P>0.05); 观察组咀嚼功能优于对照组,差异有统计学意义(P<0.05),其咀嚼功能好的比例为47.62%;术后6个月,两组开口度比较 差异无统计学意义(P>0.05);观察组术后UW-QOL评分中,咀嚼评分为(70.06±3.34)分,且高于对照组,差异有统计学 意义(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:PBFPF修复术与ADM修复治疗口腔颊黏膜 软组织缺损效果相当,但PBFPF修复术有利于患者咀嚼功能恢复。
Abstract:
Objective To explore the value of buccal fat pad flap (PBFPF) repair and xenogeneic acellular dermal matrix (ADM) in the repair of oral buccal mucosal soft tissue defect. Methods 80 patients with buccal mucosa and soft tissue defect treated in our hospital from February 2019 to June 2020 were selected and divided into observation group (n=42) and control group (n=38), the observation group was given PBFPF repair, the control group was treated with ADM, the operation time, swallowing function and voice function and so on of the two groups were observed. Results There was no significant difference in operation time, extubation time and oral feeding time between the observation group and control group (P>0.05).There was no significant difference in swallowing function and voice function between the observation group and control group (P>0.05).The masticatory function of the observation group was better than that of the control group (P<0.05), the ratio of good masticatory functionwas 47.62%; 6 months after operation, there was no significant difference in the mouth opening between the observation group and the control group (P>0.05). The chew score of UW-QOL in the observation group was (70.06 ± 3.34), which was higher than that in the control group (P<0.05). There was no significant difference in the incidence of complications between the observation group and the control group (P>0.05). Conclusion The efficacy of PBFPF and ADM in the treatment of buccal defect is comparable, However, PBFPF is beneficial to the recovery of masticatory function

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更新日期/Last Update: 2022-10-21