新生儿唇腭裂一期矫治术30例

Surgical management of neonate lip and palate cleft

目的探讨新生儿唇腭裂一期修复术围手术期的安全性、可行性。方法制订详细的手术计划,采用Onizuka法和双瓣后推法对新生儿唇腭裂行一期修复,进行围手术期新生儿全身情况监护,护理,评估,及手术效果评价等。结果30例新生儿围手术期各项生理指标正常,与正常新生儿无明显差异,手术效果满意,有5例唇腭裂出现牙下瘘。结论严格掌握适应证,筛选成熟新生儿,新生儿唇腭裂一期修复术是安全的可行的,手术效果良好。

Objective To explore the security and feasibility in ambi-operation of the neonate lip and palate cleft correction. Methods Using ornizuka＇s and innovated langenbeck＇ s method to correct the lip and palate cleft in 30 cases with detailed program, the effect after operation was evaluated. Results All physiological index were normal in the group of ambi-operation, which had no difference to other newborn, the effect is satisfacery. 5 of them have the fistula under the gingival. Conclusions Based on controlling on surgery indication, screening the well-developed newborn, it is secure and feasible to correct lip and palate in one stage, and it can get excellent effect.