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目的通过比较Er,Cr:YSGG激光和传统的舌系带矫正术治疗粗厚型舌系带过短的临床效果,以证实Er,Cr:YSGG激光治疗舌系带过短的有效性。方法对从2013年3月到2015年9月来我院口腔颌面外科就诊的187例粗厚型舌系带过短的患儿,使用舌系带矫正术(对照组:95例)和Er,Cr:YSGG激光修正术(实验组:92例)进行治疗,对其术后1周伤口恢复情况以及一年后语言矫正情况进行评价。结果 Er,Cr:YSGG激光修整术后患儿的出血、感染以及肿胀的发生率要显著低于舌系带矫正术(P<0.05),两组患儿的发音障碍发生率并无统计学差异(P>0.05)。结论Er,Cr:YSGG激光修整舌系带过短能够有效降低术后出血、肿胀和感染的发生,Er,Cr:YSGG激光修整术可作为一种治疗舌系带过短的有效方式。
Objective To compare the clinical efficacy of Er, Cr: YSGG laser with conventional tongue laceration in the treatment of severe tongue laceration, so as to demonstrate the effectiveness of Er, Cr: YSGG laser in treating the tongue laceration. Methods From March 2013 to September 2015 in our hospital oral and maxillofacial surgery 187 cases of thick tongue with too short tongue, the use of tongue laceration (control group: 95 cases) and Er , Cr: YSGG laser correction (experimental group: 92 cases) were treated, and their wound recovery after 1 week and language assessment one year later were evaluated. Results The incidences of hemorrhage, infection and swelling in Er, Cr: YSGG laser dressing were significantly lower than those in tongue laceration (P <0.05). There was no significant difference in the incidence of vocal dysfunction between the two groups (P> 0.05). Conclusion Er, Cr: YSGG laser trimming of the lingual ligaments can effectively reduce postoperative bleeding, swelling and infection. Er, Cr: YSGG laser trimming can be an effective method to treat the tongue band too short.