婴幼儿腭裂修复118例临床分析

目的: 探讨婴幼儿腭裂修复术的安全性与修复效果。方法: 对118例5~18个月腭裂婴幼儿采用两瓣法、完全性腭裂采用两瓣法+犁骨瓣联合修复、不完全腭裂及软腭裂多用改良兰氏法。术中应用高频电刀止血,术后口腔留置口咽通气管,保持呼吸通畅。结果: 118例患儿麻醉及手术顺利,术中、术后均未发生严重并发症。术后患儿反应轻,进食情况好,切口糜烂3例,穿孔2例,其余均一期愈合。随访87例,语音恢复良好,近90%病例达到或接近正常儿童语音水平。结论: 婴幼儿期腭裂手术在麻醉条件具备、掌握好适应证并熟练操作技术的情况下是安全有效的。

The clinical summary of infant palatorrhaphy:a 118 cases analysis

Objective:To investigate the safety and effect of palatorrhaphy in cleft palate repair on infants.Methods:One hundred and eighteen cases of infants,from 5 to 18 month,were included.Two-flap was adopted as main method in operation,but combined with method of vomer bone flap repaire in complete cleft palate and.The improved Langenbeck method was adopted in incomplete cleft palate and cleft soft palate.The high frequency electric knife was used to stop bleeding.The oropharynx ventiduct was detained in oral cav...