Analysis of risk factors affecting poor wound healing after primary cleft palate surgery.

Min Wu, Heng Yin, Lixian Chen, Bing Shi, Yang Li
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Abstract

Objectives: To study the risk factors of poor wound healing after primary cleft palate surgery.

Methods: In this study, 980 cases of congenital cleft palate treated by Sommerlad-Furlow in the Department of Cleft Lip and Palate Surgery of Sichuan University from 2017 to 2021 were continuously analyzed. Indicators included patient's age, gender, body weight, cleft palate type, width of the widest fistula, cleft palate index (width of the widest fistula/width at the posterior edge of the maxillary tubercle plane), preoperative white blood cell count, preoperative hemoglobin level, preoperative antibiotic use, doctor's seniority, use of relaxation incision, operation time, postoperative upper respiratory tract infection, and postoperative wound healing. The postoperative wound healing was divided into normal healing, delayed healing, and palatal fistula. Both delayed healing and palatal fistula were classified as poor healing. The factors that may affect the healing outcome of the palatal wound after primary cleft palate repair were analyzed using SPSS 26.0 software.

Results: A total of 825 patients (84.2%) had normal healing, 112 patients (11.4%) had delayed hea-ling, and 43 patients (4.4%) had palatal fistula. Doctor's seniority, width of the widest fissure, cleft palate index, and operation time influenced the wound healing effect after cleft palate surgery (P<0.05). Doctors with low seniority, wide width of the widest fistula, large cleft palate index, and long operation time were the risk factors of poor wound healing.

Conclusions: Doctor's seniority, width of the widest fissure, cleft palate index, and operation time are related to the effect of healing effect after cleft palate surgery.

影响原发性腭裂手术后伤口愈合不良的风险因素分析。
目的:研究原发性腭裂手术后伤口愈合不良的风险因素:研究原发性腭裂术后伤口愈合不良的风险因素:本研究对2017-2021年四川大学唇腭裂外科经Sommerlad-Furlow治疗的980例先天性腭裂病例进行连续分析。指标包括患者年龄、性别、体重、腭裂类型、最宽瘘管宽度、腭裂指数(最宽瘘管宽度/上颌结节平面后缘宽度)、术前白细胞计数、术前血红蛋白水平、术前抗生素使用情况、医生资历、松弛切口使用情况、手术时间、术后上呼吸道感染情况、术后伤口愈合情况等。术后伤口愈合分为正常愈合、延迟愈合和腭瘘。延迟愈合和腭瘘均被归为愈合不良。使用 SPSS 26.0 软件分析了可能影响腭裂初次修复术后腭部伤口愈合效果的因素:共有 825 名患者(84.2%)伤口愈合正常,112 名患者(11.4%)伤口愈合延迟,43 名患者(4.4%)出现腭瘘。医生资历、最宽裂隙宽度、腭裂指数和手术时间对腭裂术后伤口愈合效果有影响(PC 结论:医生资历、最宽裂隙宽度、腭裂指数和手术时间对腭裂术后伤口愈合效果有影响:医生资历、最宽裂隙宽度、腭裂指数和手术时间与腭裂术后伤口愈合效果有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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