婴儿期腭裂的手术治疗

目的:总结婴儿期外科治疗腭裂的经验。方法:回顾近6年531例2～12月各型腭裂患儿的临床资料,对手术时间、术中出血及并发症等进行分析。结果:手术时间、手术失血量与裂隙程度有关(均F<0.05);与传统大于周岁行腭裂手术的患儿相比,婴儿期手术失血少,而术后出血发生率、手术时间、死亡率两者无差别;婴儿期手术也不会增加术后瘘孔发生率,但术后呼吸道梗阻率略高。结论:掌握好适应证及电外科技术,婴儿期腭裂手术是一种安全、疗效好的治疗方法。

A Retrospective Study of Surgical Treatment on Cleft Palate of Infants

Objective: The purpose of this study was to summarize some experience in surgical treatment of cleft palate of infants. Methods: In this study, a total of 531 cases of infants with different subtypes of cleft palate, aged 2 to 12 months, treated with an operation were retrospected. The time of operation, blood loss during operation, and complications were analyzed. Results: The time of operation and blood loss during operation was related with the width of clefts (each F < 0.05) . When compared with the conventional procedures, which required the age of infants must over 1 year, infants with cleft palate was operated before one year had the advantage of less blood loss during operation and lower incidence of fistula. But there was no significant difference in bleeding after operation, time of operation and death rates due to surgery. However, the latter had higher incidence of obstruction airway. Conclusion: Palatoplasty in infants is safe and beneficial, if the electric surgical technique is good, and indications of operation can be properly considered.