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单一全层"Z"字瓣改形的腭裂修补术
引用本文:李诗佩,姚建民. 单一全层"Z"字瓣改形的腭裂修补术[J]. 中国美容医学, 2002, 11(4): 348-349
作者姓名:李诗佩  姚建民
作者单位:1. 杭州市第二人民医院口腔科,浙江省杭州市,310015
2. 杭州市整形医院整形科
摘    要:目的:探索腭裂治疗的一种新方法。方法:对Furlow氏双“Z”字瓣逆向腭裂修复术进行改良,于软腭中部采用单一“Z”字瓣改形,延长软腭,简化 ,避免腭瘘,复裂等并发症产生。结果:采用此法对11例单侧腭裂患者进行整复治疗,术后切口均I期愈合,随访6-36个月无腭瘘,复裂发生;语言评价结果为发音优2例,良8例,差1例。结论:本术式为腭瘘,复裂发生率较低,语音能恢复较好的一种腭裂修补术。

关 键 词:单一全层“Z”字瓣 腭裂 腭裂修补术 手术设计
文章编号:1008-6455(2002)04-0348-02
修稿时间:2002-02-17

TO REPAIR CLEFT PALATE WITH SINGLE Z- PLASTY
LI Shi - pei,YAO Jian - min.. TO REPAIR CLEFT PALATE WITH SINGLE Z- PLASTY[J]. Chinese Journal of Aesthetic Medicine, 2002, 11(4): 348-349
Authors:LI Shi - pei  YAO Jian - min.
Abstract:Objectives: To investigate a new method for cleft palate repair. Methods: A technical improvement had been made to the Furlow's double Z - plasty. Single Z - plasty was used in the middle of soft palate to prolong the soft palate, predigested operation method, avoiding palate fistula, dehiscence. Results: Eleven patients in this group were operated. All of them have been followed up for 6 to 36 months. There was neither palate fistula nor dehiscence, and 2 patients' phonation is excellent, 8 is good and 1 is bad. Conclusion: This technique provides a new better way of cleft palate repair, which brings less trauma, palate fistula, dehiscence with phonation function resume satisfying.
Keywords:cleft palate  cleft palate repair  Z - plasty
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