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目的:对102例4d以内的新生儿进行唇裂修复术。方法:将102例分为两组;55例在无麻醉下进行手术,47例在基础麻醉下进行手术;单侧唇裂手术采用旋转推进法.双侧唇裂采用原长法或加长法。结果:102例均为Ⅰ期愈合.外观、形态,得到明显效果。长期随访发现:唇部形态及功能均较好.唇部切口瘢痕不明显.上颌牙槽骨的发育及乳牙排列均正常、结论:在适当的麻醉和熟练的手术技巧下.对新生儿进行唇裂修复术是安全的,与延期手术相比有更明显的优点。
OBJECTIVE: To repair 102 cases of newborn infants less than 4 days old. Methods: 102 cases were divided into two groups; 55 cases were operated without anesthesia, 47 cases were operated under basic anesthesia; unilateral cleft lip surgery by rotary propulsion method. Bilateral cleft lip using the original method or lengthening method. Results: All 102 cases were stage Ⅰ healed. Appearance, shape, get obvious effect. Long-term follow-up found: lip shape and function are better. Lip incision scar is not obvious. Maxillary alveolar bone development and deciduous alignment were normal, Conclusion: Under the appropriate anesthesia and skilled surgical skills. Cleft lip repair of the newborn is safe and has more pronounced advantages over delayed surgery.