儿童睑板腺囊肿改良手术疗效观察.docVIP

儿童睑板腺囊肿改良手术疗效观察 　　【摘要】 目的：探讨改良手术方式治疗儿童睑板腺囊肿的疗效。方法：选取笔者所在科室2013年3月-2014年3月收治入院的79例睑板腺囊肿患儿作为研究对象，采用随机数字表法将其分为传统手术组36例和改良手术组43例。传统手术组采用分离剪除囊壁，改良手术组适量剪除囊壁后，用0.5%的活力碘小棉片涂抹各个壁层，治疗过程中均加强围手术期护理。观察比较两组患儿的平均手术时间、平均住院时间、术后血肿情况、感染情况、家属满意度及术后复发情况。结果：经治疗后，改良手术组的平均手术时间、平均住院时间均明显短于传统手术组，血肿发生率4.65%（2/43）明显低于传统手术组的25.00%（9/36），感染率0明显低于传统手术组的13.89%（5/36），差异均有统计学意义（P0.05）。结论：对于治疗儿童睑板腺囊肿，睑板腺囊肿改良手术方式比传统手术方式更安全省时，值得临床推广。 　　【关键词】 睑板腺囊肿； 活力碘； 儿童 　　中图分类号 R779.6 文献标识码 A 文章编号 1674-6805（2015）2-0006-02 　　The Curative Effect Observation of Chalazion Improved Surgery of Children/LI Han.//Chinese and Foreign Medical Research，2015，13（2）：6-7 　　【Abstract】 Objective：To investigate the therapeutic effect of chalazion improved surgery in the treatment of children with chalazion.Method：79 children with chalazion admitted to our department from March 2013 to March 2014 were selected as research objects，they were divided into the traditional surgical group for 36 cases and the improved surgical group for 43 cases according to the random number table method.Cyst wall were cut off in traditional surgical group，the right amount of cyst wall were cut off in the improved surgical group，and then smeared the wall layer of the individual with 0.5% of the povidone-iodine.The perioperative nursing was strengthened in the course of treatment.The average surgical time，average hospitalization time，hematoma，infection after surgery，family satisfaction and postoperative recurrence between the two groups were observed and compared.Result：After treatment，the average surgical time and average hospitalization time of improved surgical group were significantly shorter than those of traditional surgical group，the occurrence rate of hematoma in improved surgical group was 4.65%（2/43），it was significantly lower than 25.00%（9/36） in traditional surgical group，the infection rate of improved surgical group was 0，it was significantly lower than 13.89%（5/36） of traditional surgical group，the differences were statistically signifi