软木塞训练法促进腮腺咬肌区静脉畸形硬化治疗后张口受限的功能康复(1)
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[摘要]目的：评价软木塞功能训练法对腮腺咬肌区静脉畸形硬化治疗后所导致的张口受限的功能康复的效果。方法：收集2006年8月～2010年8月在门诊手术室治疗的腮腺咬肌区静脉畸形硬化治疗后出现张口受限患者60例，将其采用随机数字表分为常规张口训练组(对照组)30例和加用软木塞功能训练组(实验组)30例，随访2个月，比较两组患者张口受限的恢复程度。结果：加用软木塞功能训炼组张口受限在4周时基本恢复，而对照组8周后才基本恢复，4周时与对照组比较差异显著(P<0.01)，而8周时两组已无明显差异(P>0.05)。结论：通过围手术期采取软木塞功能训练治疗，可以有效地缩短腮腺咬肌区静脉畸形硬化治疗后张口受限持续的时间，促进功能康复。
[关键词]腮腺咬肌区；静脉畸形；硬化治疗；张口受限；软木塞法
[中图分类号]R622 R782 [文献标识码]A [文章编号]1008-6455(2011)05-0746-03
Cork-biting training promote the functional recovery of dehisce difficulty after sclerotherapy of venous malformation located in parotid masseteric region
HE Min-min,LI Xin,LI Wei
(Department of Plastic Surgery,Shanghai 9th People's Hospital,School of Medicine,Shanghai Jiaotong University,shanghai 200011,China)
Abstract:ObjectiveTo evaluated the cork-biting method for treatment of dehisce difficulty after sclerotherapy of venous malformation located in parotid masseteric region.Methods60 patients with dehisce difficulty after sclerotherapy of venous malformation located in parotid masseteric region were collected from Aug. 2006 to Aug.2010.All patients were randomly divided into two groups. The experiment group was treated with conventional training method together with cork-biting training method, and the control group was treated with conventional training method alone.Patients were followed up to 2 months, and the recovery rate of dehisce difficulty was compared.Results In the experiment group, most of patients were recovered after 4 weeks, while in the control group, it took 8 weeks to achieve similar results.The recover rate was significantly (P<0.01) higher in the experiment group than that in the control group at 4 weeks time point, but no significant difference (P>0.05) was observed at 8 weeks time point.Conclusion The cork-biting training could effectively reduce the recovery time of dehisce difficulty after sclerotherapy of venous malformation located in parotid masseteric region.
Key words:parotid masseteric region;venous malformations;sclerotherapy;dehisce difficulty;cork-biting
静脉畸形属于一种先天性低流量的血管畸形[1]，它的生长和身体的发育成正比，没有自限性。它可发生在全身各个部位，但以发生在颌面部为主，约占全身静脉畸形的60%，可单独累及皮肤、皮下组织、肌层及口腔粘膜或同时累及多层组织 ......
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