先天性腭裂手术时机选择的临床研究

The clinical study for the best operation time of the palate cleft

目的:探讨患儿腭裂手术修复的最佳时机。方法:对1997～2005年间在我院治疗的1～12个月的354例唇腭裂患儿进行手术修复,按年龄分四组分别对其术中、术后各项指标及发音效果进行对比、分析和评估。结果:手术全部获得成功,354例患儿术中、术后均未出现严重的并发症,其中1～3个月年龄组患儿术中出血少,术后恢复快,术后体重普遍增加;年龄组越大,术中出血量越多、术后体重普遍下降,术后恢复较慢;术后发音效果1～3月年龄组语言效果优于其他各年龄组;近期内未发现明显上颌骨发育障碍。结论:在手术技术成熟和条件具备下,3月左右是腭裂修复的最佳时机。

Objective To explore the best operation time of the palate cleft. Methods From 1997 to 2005, 354 cases with the lip and palate cleft, aged ranged from 1 to 12 months were undergoing the cleft palate repair, dividing the children into four groups, the effect in operation and after operation were evaluated. Results All of the cases were successfully repaired, the cases aged from 1 to 3 months were repaired with less bleeding, quicker recovery, shorter operation time and the best speech function, the maxillary development were very well. Conclusion About 3 months was a proper time for cleft palate repair, when the general condition was good.