河南省部分地区唇腭裂患者术后继发畸形调查分析

目的：了解唇裂、腭裂一期手术后继发畸形的情况。并探讨其影响因素及有效的解决方法。方法：采用普查法对河南省部分地区人群进行随访，对唇腭裂患者进行术区照相，根据照片记录手术类型、术后继发畸形情况，将结果进行统计学分析。结果：共随访唇腭裂术后患者2046例。单侧唇裂患者1514例，术后继发畸形1268例，，双侧唇裂患者488例，术后继发畸形466例，腭裂患者446例，术后继发硬腭穿孔及软腭复裂26例。结论：适当选择唇腭裂手术类型，对唇腭裂术后患者进行定期随诊及普查，及时发现、治疗术后继发畸形，对提高唇腭裂手术的治疗效果具有极为重要的意义。

The Secondary Deformity Distribution of Cleft lip and Cleft Palate in Henan Province

Objective: To explore the relationships between secondary deformities of Cleft lip and cleft palate and selection of mode of initial operation.Methods: To survey and to take photos for the patients of cleft lip and cleft palate in henan province,to study the photos and to record the Operation mode and the secondary defortuities.Results: There were 2046 cases of Cleft lip and cleft palate.Of the 1514 cases of unilateral Cleft lip with or without cleft palate,1268 were diagnosed as the patients of the secondary defortuities,Of the 488 cases of bilateral Cleft lip with or without cleft palate,464 were diagnosed as the patients of the secondary defortuities.Conclusion: Initially adopted operation mode for Cleft lip with or without cleft palate has remarkably affected the risk of secondary defortuities.