Lamell C W, Fraone G, Casamassimo P S, Wilson S
Ohio State University College of Dentistry, Columbus, USA.
Pediatr Dent. 1999 Jan-Feb;21(1):34-8.
Tongue lacerations in children require treatment decisions by clinicians, but there is conflicting literature on the topic of suturing.
In this prospective study, 28 patients (mean age 3.0 +/- 2.3 yr) with traumatic tongue lacerations were triaged according to an existing protocol to determine if the laceration would be sutured. At least 2 weeks post-trauma, 22 patients were evaluated by examination or report for quality of result and post-trauma complications. The most common location was anterior dorsum. A fall at home was the most common situation. Mean delay from injury to treatment was 4.5 +/- 9.0 h. No statistically significant difference was found for quality of result or post-trauma morbidity between those lacerations sutured and those not. No significant relationship was found between quality of result and size of laceration or bleeding at the time of presentation. Time delay did not significantly affect the quality of result.
Results suggest that suturing does not improve outcome or post-trauma course for tongue lacerations in young children.
儿童舌部裂伤需要临床医生做出治疗决策，但关于缝合这一话题的文献存在相互矛盾的观点。
在这项前瞻性研究中，28例（平均年龄3.0±2.3岁）外伤性舌部裂伤患者按照现有方案进行分类，以确定裂伤是否需要缝合。创伤后至少2周，对22例患者进行检查或通过报告评估治疗效果及创伤后并发症。最常见的部位是舌背前部。在家中摔倒为最常见的情况。从受伤到治疗的平均延迟时间为4.5±9.0小时。缝合组与未缝合组在治疗效果质量或创伤后发病率方面未发现统计学上的显著差异。治疗效果质量与裂伤大小或就诊时出血情况之间未发现显著关系。时间延迟对治疗效果质量无显著影响。
结果表明，缝合并不能改善幼儿舌部裂伤的治疗结果或创伤后病程。
