摘要：

目的：比较两种方法治疗儿童舌系带过短的疗效。方法：将2018年03月—2019年12月期间上海市儿童医院收治的120例舌系带过短患儿平均分为传统手术组和高频电刀手术组2组。然后比较2组患儿的手术效果。结果：高频电刀组患儿手术时间少于传统手术组患儿（P<0.05），其术后伤口出血、感染的发生率均低于传统手术组患儿（P<0.05）。两组均能有效改善舌系带过短，但对于粗厚型舌系带过短，传统手术组的改善效果优于高频电刀组。结论：两种手术方法均能有效地改善儿童舌系带过短，对薄膜型舌系带过短，用高频电刀治疗具有手术时间短、术后出血、感染少等优势，值得推广。但对于粗厚型舌系带过短，传统手术改善效果更明显。

关键词: 舌系带过短, 高频电刀, 传统舌系带过短矫正术

Abstract:

Objective: To compare the effects of two methods in the treatment of ankyloglossia in childhood. Methods: A total of 120 children with ankyloglossia admitted to Shanghai Children′s Hospital from March 2018 to December 2019 were divided into traditional surgery group and high-frequency electrosurgery group. Then the effects of corrective surgery were compared. Results: The operation time in the high-frequency electrosurgical group was shorter than that in the traditional operation group(P<0.05), and the incidence of postoperative wound bleeding and infection was lower than that in the traditional operation group(P<0.05). Both groups can effectively improve the length of lingual frenulum, but if the lingual frenulum is too thick, the improvement from the traditional surgery is better than that of the high-frequency electrosurgical group. Conclusion: Both methods can effectively improve the length of lingual frenulum of children. If the lingual frenulum is thin, high-frequency electrosurgical treatment has the advantages of short operation time and less postoperative bleeding and infections. It is worth promoting. However, if the lingual frenulum is too thick, the improvement effect of traditional surgery is more obvious.

Key words: ankyloglossia, high-frequency electronic scalpel, traditional surgical correction of lingual frenulum

中图分类号: 

• R782