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目的 探索婴幼儿完全性唇腭裂一期修复的可行性 ,并对其效果进行初步观察。方法对 2 71例 3～ 12个月婴儿完全性唇腭裂进行了一期修复 ,同时对 2 4例裂隙宽大的患儿进行术前腭部矫治 ,对术后 1～ 4年的 116例患儿唇的外形及语音进行了初步评价。结果 2 71例婴幼儿完全性唇腭裂修复手术 ,术后除 2例发生呼吸困难 ,6例腭部瘘孔形成及 5例伤口渗血外 ,全部愈合良好。研究发现 19例单侧完全性唇腭裂术前腭部矫治后 ,齿槽部裂隙左右距离较矫治前平均缩小 6 1mm ;前后距离较矫治前平均缩小 6 6mm ;唇外形评价优良率达 93 1% ,语音评价优良率达 94 8%。结论 婴幼儿完全性唇腭裂一期修复是安全的、可行的。术前腭部矫治可明显缩小齿槽部的裂隙 ,有利于宽大裂隙的修复。婴幼儿完全性唇腭裂一期修复可获良好唇外形及语音功能恢复
Objective To explore the feasibility of repairing the primary cleft lip and palate in infants and young children once completely, and to observe its effect preliminarily. Methods A total of 21 71 infants with 3 ~ 12 months of complete cleft lip and palate had undergone one-stage repair. At the same time, 24 cases of children with wide-fissure were treated with preoperative palatal correction. One hundred and sixty-six children Lip shape and voice were initially evaluated. Results Totally 71 cases of complete cleft lip and palate repair were performed in infants and young children. All cases were well healed except 2 cases of dyspnea after operation, 6 cases of palatal fistula formation and 5 cases of wound bleeding. The study found that after 19 cases of unilateral complete cleft lip and palate preoperative palate treatment, the left and right glenoid fissure distance than before treatment an average reduction of 6 1mm; anteroposterior distance compared with the average reduction of 6 6mm; lip contour evaluation rate of 93 1% , Voice evaluation excellent rate of 94 8%. Conclusion One-stage repair of complete cleft lip and palate in infants is safe and feasible. Preoperative palate treatment can significantly reduce the gap of the crook, is conducive to the repair of large cracks. Infant complete cleft lip and palate repair a good lip shape and speech function can be restored