幼儿期腭裂整复术的临床评价

目的探讨先天性腭裂幼儿期手术的安全性及其临床效果。方法对163例先天性腭裂患儿采用气管插管全麻下行腭裂整复术，根据不同腭裂类型选择不同的术式，观察其术中、术后情况，并对110例术后2～5年的患儿进行随访，初步评价语音效果。结果全部患儿都能很好地耐受麻醉及手术，无严重并发症发生。155例伤口愈合良好，8例术后穿孔。语音评价优良率达93．6％。结论掌握好适应证，幼儿期腭裂整复术是安全可行的，早期手术可使患儿语音恢复或明显改善。

Clinical evaluation of cleft palate repair during young children period

Objective To explore the safety and the primary clinical effect of cleft palate repair during young children period. Methods A total of 163 cases of young children with cleft palate were performed with palatoplasty under the general anesthesia by oral endotracheal intubation technique. Three kinds of methods were used in the treatment of cleft palate. The condition during operation period and after operation was observed. The speech function of the 110 cases was evaluated during 2 to 5 years postoperative follow-up. Results All the young children endured the anesthesia and operation well. One hundred and fifty-five cases gained good wound healing, 8 wound perforation. The analysis of speech function showed that the percentage of speech promotion (including excellent or acceptable) was 93.6%. Conclusion The cleft palate repair during young children is safe and feasible and a satisfactory speech function could be obtained.