单侧完全性唇腭裂患儿唇裂修复同期硬腭裂隙封闭的临床观察

华西口腔医学杂志

单侧完全性唇腭裂患儿唇裂修复同期硬腭裂隙封闭的临床观察

李万山,郑谦,魏世成,陈吉明

400014　重庆医科大学儿童医院唇腭裂中心(李万山, 陈吉明),四川大学华西口腔医院(郑　谦,魏世成)

收稿日期:2003-02-25 修回日期:2003-02-25 出版日期:2003-02-20 发布日期:2003-02-20

Simultaneous Repair of Cleft Lip and Closure of Cleft Hard Palate with Vomer Flaps in Patients with Unilateral Complete Cleft Lip and Palate

LI Wanshan*,ZHENG Qian,WEIShicheng,et al

*The Center of CleftLipandPalate,Children′sHospital,Chongqing University ofMedical Sciences,Chongqing400014,China

Received:2003-02-25 Revised:2003-02-25 Online:2003-02-20 Published:2003-02-20

摘要/Abstract

摘要：

目的　探讨单侧完全性唇腭裂患儿时唇裂修复同期硬腭裂隙封闭的可行性及临床效果。方法　47例年龄为3·0~7·5月龄的单侧唇腭裂患儿在唇裂修复同期行硬腭裂隙封闭,分析手术时间、术中出血、术后恢复、创口愈合及腭部裂隙变化情况。结果　所有患儿的手术均顺利完成。手术时间与单纯唇裂修复术相比平均延长13 min , 术中出血平均增加5 ml,术后恢复好,无创口感染及裂开。至患儿9~18月龄二期手术时腭部裂隙比行单纯唇裂修复术平均小0·28 cm,使二期手术时软腭后退充分,腭咽闭合良好。结论　单侧完全性唇腭裂患儿唇裂修复同期行硬腭裂隙封闭是安全和可行的。

关键词: 单侧完全性唇腭裂, 唇裂修复术, 硬腭裂隙封闭术, 犁骨瓣

Abstract:

Objective　The purpose of this studywas to retrospect the prognosis of simultaneous repair of cleft lip and closure of cleft hard palatewith vomerflaps in patientswith unilateral complete cleft lip and palate.Methods　Aretrospective studywas car- ried out in 47 patients with unilateral complete cleft lip and palate and, simultaneously received repair of cleft lip and closure of cleft hard palate with vomer flaps. The duration of operation, as well as the blood loss during the operation was recorded, and compared with those patients who only received cleft lip repair.Results　All the operations were successful, and the wound healed well. The procedure of simultaneous repair of cleft lip and closure of cleft hard palate with vomer flaps did not prolong the operating time, com- pared with simple cleft lip repair. No blood transfusionwas needed due to closure of cleft hard palateswith vomerflaps.Conclusion　 Simultaneous repairs of cleft lip and closure of cleft hard palate with vomer flaps are safe for patientswith unilateral complete cleft lip and palate.

Key words: unilateral complete cleft lip and palate, repair of cleft lip, closure of cleft hard palate, vomer flap

李万山,郑谦,魏世成,陈吉明. 单侧完全性唇腭裂患儿唇裂修复同期硬腭裂隙封闭的临床观察[J]. 华西口腔医学杂志.

LI Wanshan*,ZHENG Qian,WEIShicheng,et al. Simultaneous Repair of Cleft Lip and Closure of Cleft Hard Palate with Vomer Flaps in Patients with Unilateral Complete Cleft Lip and Palate[J]. West China Journal of Stomatology.

[1]	房晓旭,范存晖,薛青,许涛,肖文林,田忠辉,徐晓琳. 单侧完全性唇腭裂患者牙龄骨龄相关性的研究[J]. 华西口腔医学杂志, 2019, 37(2): 180-186.
[2]	钟渝翔李万山李远贵陈梦苇廖礼姝梁丽左丁. 鼻牙槽嵴塑形矫治器在单侧完全性唇腭裂腭部畸形矫治中的效果评价[J]. 华西口腔医学杂志, 2014, 32(2): 145-149.
[3]	李放王建国. 单侧完全性唇腭裂患者上颌尖牙长度的锥形束CT测量及其他相关统计分析[J]. 华西口腔医学杂志, 2011, 29(02): 161-163.
[4]	左晖,石冰,邓典智,郑广宁,白丁. 唇裂修复术对唇腭裂患者上颌骨生长发育的影响[J]. 华西口腔医学杂志, 2001, 19(04): 229-231.
[5]	房伯君赵永康 . 单侧唇腭裂修复术对上颌骨及面部软组织发育的影响[J]. 华西口腔医学杂志, 2001, 19(04): 225-228.
[6]	周继祥,段玉贵,余小波,许方清,李瑞萍. 单侧完全性唇腭裂患者咀嚼效能的测定与分析[J]. , 2000, 18(05): 0-.
[7]	周继祥,段玉贵,余小波,黄隆庆,李瑞萍. 单侧完全性唇腭裂患者上颌后牙最大咬合面积的测定与分析[J]. , 2000, 18(05): 0-.
[8]	石冰. 个体化单侧唇裂修复术式的改进[J]. , 2000, 18(03): 0-.
[9]	石冰,王晴. 个体化双侧唇裂修复术式的设计[J]. , 1999, 17(03): 0-.
[10]	石冰,王晴. 个体化单侧唇裂修复术式的设计[J]. , 1999, 17(03): 0-.
[11]	徐慧芬. 修复双侧唇裂和延长鼻小柱的叉形瓣手术法[J]. , 1994, 12(02): 0-.