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
Effective evaluation of presurgical nasoalveolar molding devices in the treatment of complete unilateral cleft lip and palate patients
作者：钟渝翔 李万山 李远贵 陈梦苇 廖礼姝 梁丽 左丁
Author：Zhong Yuxiang, Li Wanshan, Li Yuangui, Chen Mengwei, Liao Lishu, Liang Li, Zuo Ding
收稿日期：2013-05-15 年卷（期）页码：2014,32(2):145-145-149
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：鼻牙槽嵴塑形矫治器,单侧完全性唇腭裂,腭部畸形,术前矫治,
Key words：presurgical nasoalveolar molding devices,complete unilateral cleft lip and palate,palatal deformities,pre-surgical orthopedics,
基金项目：
中文摘要
目的 评价鼻牙槽嵴塑形（PNAM）矫治器对单侧完全性唇腭裂患者腭部畸形的矫治效果。方法 研究对象分为3组，每组19例。A、B组均为非综合征单侧完全性唇腭裂患者，A组在唇腭裂手术前先行PNAM矫治，B组术前未行PNAM矫治。C组为3月龄左右鼻唇部及腭部发育正常婴儿。获取A组PNAM矫治前及PNAM矫治后唇裂术前、B组唇裂术前和C组的标准腭部模型正位照片，对模型照片进行测量。采用SPSS 21.0软件进行分析。结果 A组PNAM矫治后与矫治前相比，患者的牙弓宽度（AW）、牙弓周长（AC）、腭部面积（PA）明显增加（P0.05）。结论 PNAM矫治是早期有效改善患者腭部原发畸形的非手术治疗手段之一。
英文摘要
Objective To evaluate the orthopedic effect of presurgical nasoalveolar molding (PNAM) devices on the palatal deformities in unilateral complete cleft lip and palate (UCCLP) patients.Methods Three groups with 19 patients each were studied. All samples in groups A and B were non-syndromic UCCLP children. Group A was treated with PNAM prior to operation. Group B was untreated prior to operation. Samples in group C were normally developed nose and lip palate infants aged three months. The orthotopic palate photos before and after PNAM treatment for group A, as well as pre-operative photos of groups B and group C, were taken and measured. All statistics were analyzed using SPSS 21.0.Results PNAM treatment significantly increased the AW, AC, and PA of UCCLP patients (P0.05).Conclusion PNAM treatment is a non-surgical early treatment for the effective improvement of palatal primary deformities in UCCLP patients.
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