腭裂硬腭后缘裂隙宽度与上颌结节后缘平面宽度比例变化规律的研究
Varying width ratio patterns of posterior hard palate cleft to posterior maxillary tuberosity plane in cleft palate
作者：刘楚娴,郑谦,李杨,李精韬,郭春丽
Author：Chuxian Liu,Qian Zheng,Yang Li,Jingtao Li,Chunli Guo
收稿日期：2018-12-05 年卷（期）页码：2019,37(4):408-408-411
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：腭裂,上颌骨,颌面发育,临床分析,
Key words：cleft palate,maxilla,facial growth,clinical analysis,
基金项目：2016年度国家重点研发计划(2016YFC0905200)
中文摘要
目的 通过研究单纯性腭裂患者硬腭后缘裂隙宽度与上颌结节后缘平面宽度的比例的增龄性变化,了解患者的腭裂畸形程度和生长发育之间的关联性。方法 应用回顾性研究的方法选取581例单纯性腭裂患者,年龄为8个月至38岁,根据术前测量时的年龄段共分为7组。在患者术前采用直接测量法所获得的各项测量数据中,选取上颌结节后缘平面宽度和硬腭裂隙宽度两项,以每位患者的硬腭裂隙宽度除以上颌结节后缘平面宽度的比值（即腭裂指数）来分析腭裂裂隙的相对宽度。结果 随着患者年龄增长,腭裂裂隙在上颌所占横向比例增大,即腭裂的畸形程度随患者年龄增长呈现上升趋势。结论 本研究证实了单纯性腭裂患者腭裂裂隙宽度和上颌结节后缘平面宽度与患者年龄增长存在关联性,腭裂的严重程度和手术难度会随着患者的年龄增长而逐步加重。
英文摘要
ObjectiveThe varying width ratio patterns of posterior hard palate cleft to posterior maxillary tuberosity plane and their relationship with growth and development were studied in specific-age patients with simple cleft palate before surgery to provide a reference for evaluating operation difficulty and predetermining operative period.MethodsA total of 581 patients with simple cleft palate who received surgical treatment and are aged 8 months to 38 years participated in this study. All patients were categorized into seven groups based on age at preoperative measurement. The widths of posterior maxillary tuberosity plane and hard palate cleft were selected from the preoperative direct measurements. The relative width ratio of the hard palate to posterior maxillary tuberosity plane in each patient was used to objectively reflect the relative width of cleft palate.ResultsFor patients with simple cleft palate, the widths of posterior maxillary tuberosity plane and hard palate showed remarkably increasing trends.ConclusionThe transverse proportion of cleft palate fissure in the upper mandible increases statistically with age, suggesting the need for complex operation.
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