婴儿期腭裂整复术的临床评价

Clinical Evaluation of Cleft Palate Repair During Infantile Period

【目的】探讨婴儿期腭裂修复术的可行性及其临床效果。【方法】对184例7～12个月的先天性腭裂患儿采用气管插管全麻下行腭裂整复术,观察其术中、术后情况,并对102例术后1～5年的患儿进行随访,对其语音进行了初步的评价。【结果】全部患儿均能很好地耐受麻醉及手术,手术时间为(105.2±14.5)min,手术失血量为(35±5.4)mL。除1例双侧腭裂患儿术后发生腭瘘外,其余全部愈合良好。语音评价优良率达93.1%。【结论】婴儿期腭裂整复术是安全可行的,早期手术可获得良好的语音效果。

[Objective] To evaluate the feasibility and the primary clinical result of cleft palate repair during infantile period. [Methods] A total of 184 cases of infants aged from 7 to 12 months with cleft palate were performed with palatoplasty under the general anesthesia by oral endotracheal intubation technique. The condition during operating period and after operation were observed. The speech function of the 102 cases was evaluated during 1 to 5 years postoperative follow-up. [Results] All the infants endured the anesthesia and operation well. The average time of operation was 105.2±14.5 min; the average blood loss during operation was 35±5.4 mL. Except for 1 case with palatal fistula formation, the other infants were recovered without complication. The analysis of speech function showed that the percentage of speech promotion （including acceptable or excellent） was 93.1%. [Conclusion] The cleft palate repair during infantile is safe and feasible, and a satisfactory speech function could be obtained.