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
Simultaneous Repair of Cleft Lip and Closure of Cleft Hard Palate with Vomer Flaps in Patients with Unilateral Complete Cleft Lip and Palate
作者：李万山,郑谦,魏世成,陈吉明
Author：LI Wanshan*,ZHENG Qian,WEIShicheng,et al
收稿日期：2003-02-25 年卷（期）页码：2003,21(01):34-
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：单侧完全性唇腭裂,唇裂修复术,硬腭裂隙封闭术,犁骨瓣,
Key words：unilateral complete cleft lip and palate,repair of cleft lip,closure of cleft hard palate,vomer flap,
基金项目：
中文摘要
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。
英文摘要
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.
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