双侧唇裂术后复裂的因素分析

Clinical Factor Analysis of Secondary Cleft of Operated Bilateral Celft Lip

目的:探讨双侧唇裂术后复裂的原因,以利于提高双侧唇裂的整复效果。方法:选择采用格洛弗式法经治的412例双侧唇裂术后复裂的患儿38例,对其复裂前的临床表现、复裂的时间特点及全身和局部情况进行分析。结果:完全性、混合性等严重复裂,复裂前的全身及局部症状较轻,复裂的高峰期在手术后第5、6天。结论:完全性复裂主要原因是松弛减张不彻底;而部分复裂与患儿的全身及局部情况、操作技巧及术前、术中、术后护理密切相关。

Objective： To investigate the reason for secondary cleft of operated bilateral lip cleft in order to improve the repair effects of bilateral cleft. Methods： We chose 38 patients with secongary cleft from 412 with bilateral cleft who had undergone surgical opertions. The clinical manifestation before secondary cleft, the time when secondary cleft happened and the general and local factors were reviewed. Results： Patients with severe secondary clefts such as the complete and mixed clefts were perceived after 5 days operation. Generally and local symptoms were obvious before secondary cleft, but were cushioned immediately after it. Partly secondary cleft most tookplace on the 5th or 6th day after surgery. General and local symptoms were unobvious before secondary cleft. Conclusion： The occurrence of secondary cleft was suggested to be correlated with the incomplete relacation incision, pation＇s general and local cases, skill of operation and nursing after surgery.