唇腭裂序列治疗与关键技术的应用

doi:10.7518/hxkq.2017.01.002

华西口腔医学杂志 ›› 2017, Vol. 35 ›› Issue (1): 8-17.doi: 10.7518/hxkq.2017.01.002

唇腭裂序列治疗与关键技术的应用

石冰¹(), 傅豫川², 尹宁北³, 黄洪章⁴, 刘建华⁵, 陈仁吉⁶, 朱洪平⁷, 刘强⁸, 黄永清⁹, 任战平¹⁰, 鲁勇¹¹, 肖文林¹², 宋庆高¹³, 李万山¹⁴, 李盛¹⁵, 王洪涛¹⁶, 张浚睿¹⁷, 蒋莉萍¹⁸, 马利¹⁹, 王玲²⁰, 何等旗²¹

1. 口腔疾病研究国家重点实验室华西口腔医院（四川大学）,成都 610041
2.武汉大学口腔医院,武汉 430079
3.中国医学科学院整形外科医院,北京 100144
4.中山大学光华口腔医学院·附属口腔医院,广州 510055
5.浙江大学第一附属医院,杭州 310009
6.首都医科大学北京口腔医院,北京 100050
7.北京大学口腔医院,北京 100081
8.中国医科大学口腔医院,沈阳 110002
9.宁夏医科大学总医院附属口腔医院,银川 750004
10.西安交通大学口腔医院,西安 710004
11.南京大学医学院附属口腔医院,南京 210008
12.青岛大学附属医院黄岛分院,青岛 266000
13.遵义医学院附属口腔医院,遵义 550002
14.重庆医科大学儿童医院,重庆 400014
15.南京医科大学口腔医院,南京 210029
16.广州市妇女儿童医疗中心,广州 510000
17.第四军医大学口腔医院,西安 710000
18.上海交通大学医学院附属第九人民医院,上海 200011
19.山东省立医院,济南 250021
20.新疆医科大学第一附属医院,乌鲁木齐 830054
21.兰州大学第一医院,兰州 730000

收稿日期:2016-11-26 修回日期:2016-12-27 出版日期:2017-02-01 发布日期:2017-02-01
作者简介:
石冰,教授,博士,E-mail：shibingcn@vip.sina.com

Application of team approach and key techniques of cleft lip and palate

Bing Shi¹(), Yuchuan Fu², Ningbei Yin³, Hong-zhang Huang⁴, Jianhua Liu⁵, Renji Chen⁶, Hongping Zhu⁷, Qiang Liu⁸, Yongqing Huang⁹, Zhanping Ren¹⁰, Yong Lu¹¹, Wenlin Xiao¹², Qinggao Song¹³, Wanshan Li¹⁴, Sheng Li¹⁵, Hongtao Wang¹⁶, Junrui Zhang¹⁷, Liping Jiang¹⁸, Li Ma¹⁹, Ling Wang²⁰, Dengqi He²¹

1. State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
2. Hospital of Stomatology, Wuhan University, Wuhan 430079, China
3. Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100144, China
4. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen Univer-sity, Guangzhou 510055, China
5. The First Affiliated Hospital, Zhejiang University, Hangzhou 310009, China
6. Beijing Hospital of Stomatology, Capital Medical University, Beijing 100050, China
7. Hospital of Stomatology, Peking University, Beijing 100081, China
8. Hospital of Stomatology, China Medical University, Shenyang 110002, China
9. Hospital of Sto-matology, Ningxia Medical University, Yinchuan 750004, China
10. Hospital of Stomatology, Xi’an Jiaotong University, Xian 710004, China
11. Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
12. Huangdao Branch, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
13. Stomatological Hospital, Affiliated to Zunyi Medical College, Zunyi 550002, China
14. Children’s Hospital of Chongqing Medical University, Chongqing 400014, China
15. Hospital of Stomatology, Nanjing Medical University, Nanjing 210029, China
16. Guangzhou Women and Children’s Medical Center, Guangzhou 510000, China
17. Hospital of Stomatology, The Fourth Military Medical University, Xi’an 710000, China
18. Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
19. Shandong Provin-cial Hospital, Jinan 250021, China
20. The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
21. The First Hospital of Lanzhou University, Lanzhou 730000, China

Received:2016-11-26 Revised:2016-12-27 Online:2017-02-01 Published:2017-02-01

摘要/Abstract

摘要：

建立具有中国特色的唇腭裂多学科序列治疗专家共识,对提高我国的唇腭裂治疗水平具有较为现实的指导意义。本文将21家医疗单位唇腭裂序列治疗中唇腭裂的外科前治疗,唇、腭裂的外科修复,正畸治疗,牙槽突裂的植骨修复,唇裂鼻畸形的整复,唇裂术后继发畸形的二期整复,腭裂术后穿孔的处置,腭裂术后腭咽闭合不全的诊断与治疗,语音治疗,腭裂分泌性中耳炎的处置,颌骨畸形的外科矫治,心理评估和咨询及围手术期的护理等治疗经验进行了归纳总结并达成一致意见。其中对唇裂、腭裂、牙槽突裂和腭咽闭合不全的外科关键技术的应用和对语音治疗、正畸治疗和颌骨畸形牵张成骨等主要方法的应用也形成了共识。笔者希望通过这一努力,能够引导更多医护人员参与唇腭裂序列治疗和关键技术的创新工作,最终形成中国唇腭裂治疗指南。

关键词: 唇腭裂, 序列治疗, 专家共识

Abstract:

The development of an expert consensus based on specific domestic situations will provide practical guidance to the efforts aiming at improving cleft care in China. The team approach of twenty-one cleft centers were pooled together, covering pre-surgical orthopedics, primary surgical repair, orthodontic treatment, alveolar bone graft, secondary deformity correction, palatal fistulae repair, the diagnosis and treatment of velopharyngeal incompetence, speech therapy, otitis media management, and skeletal deformity correction. Agreement was achieved among the authors concerning the application of critical surgical and non-surgical techniques. The ambition of this consensus is to introduce more clinicians to the revolution of sequential treatment of clefts, and form the basis for a more comprehensive cleft care manual in the future.

Key words: cleft lip and palate, team approach, expert consensus

中图分类号:

R782.2

石冰, 傅豫川, 尹宁北, 黄洪章, 刘建华, 陈仁吉, 朱洪平, 刘强, 黄永清, 任战平, 鲁勇, 肖文林, 宋庆高, 李万山, 李盛, 王洪涛, 张浚睿, 蒋莉萍, 马利, 王玲, 何等旗. 唇腭裂序列治疗与关键技术的应用[J]. 华西口腔医学杂志, 2017, 35(1): 8-17.

Bing Shi, Yuchuan Fu, Ningbei Yin, Hong-zhang Huang, Jianhua Liu, Renji Chen, Hongping Zhu, Qiang Liu, Yongqing Huang, Zhanping Ren, Yong Lu, Wenlin Xiao, Qinggao Song, Wanshan Li, Sheng Li, Hongtao Wang, Junrui Zhang, Liping Jiang, Li Ma, Ling Wang, Dengqi He. Application of team approach and key techniques of cleft lip and palate[J]. West China Journal of Stomatology, 2017, 35(1): 8-17.

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唇腭裂序列治疗与关键技术的应用

Application of team approach and key techniques of cleft lip and palate

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