单侧唇裂临床定量分类

Quantitative Classification of Unilateral Cleft Lip

目的通过对单侧唇裂关键性畸形要素:唇高不足、人中嵴变短的调查分析患侧上唇提出单侧唇裂新的临床分类,即定量分类。方法对单侧唇裂病例的健侧唇长及患侧裂隙内、外两侧唇长进行测量,将裂隙内、外侧唇长分别与健侧唇长进行比较。其相差值在2mm以内为患侧裂隙内侧或外侧唇长正常(与健侧唇长相等时)或接近正常;相差在3mm以上为患侧裂隙内侧或外侧唇长不足。结果100例单侧唇裂定量分类,可分为以下四种类型:第一型,裂隙内、外侧唇长正常或接近正常;第二型,裂隙内侧唇长正常或接近正常,裂隙外侧唇长不足型;第三型,裂隙内侧唇长不足,裂隙外侧唇长正常或近接近正常;第四型,裂隙内、外两侧唇长不足型。结论单侧唇裂临床定量分类与既往教科书按唇裂的部位与程度不同进行分类[1]或以患侧裂隙内、外两侧唇面积不同进行分类[2]及其他有关文献唇裂分类方法[3,4]完全不同。这种分类法,理顺了单侧唇裂分类与修复原则、选择和改进修复方法及疗效评价之间的关系,对正确与合理指导单侧唇裂的修复有重要意义。

Objective To evaluate malformation elements of unilateral cleft lip and establish a new quantitative classification of unilateral cleft lip. Methods To compare the lip height of unaffected side with the lip height of inside and outside on affected side in 100 patients. Results The results were divided into 4 types. Type 1： the lip height of the inside and outside on affected side is close to normal side in 6 cases. Type 2： the lip height of the inside on affected side is close to normal side while at outside is shorter than normal side in 2 cases. Type 3 ： the lip height of the inside is insufficient while the outside is close to normal side in 45 cases. Type 4： the lip height both inside and outside are insufficient in 47 cases. Conclusion Quantitative classification of unilateral cleft lip has great significance in guiding the clinical treatment and improving therapeutic effect of unilateral cleft lip.