早期腭裂修复术的临床评价

Clinical evaluation of early cleft palate repair

目的:探讨早期婴幼儿腭裂手术的临床疗效。方法:对232例腭裂患儿采用气管插管全身麻醉下进行腭裂修复术,按年龄大小分为早期组,延迟组及晚期组,对比观察术中、术后情况,并对157例患儿定期随访3～4年。评价各组临床疗效。结果:全部患儿均能耐受麻醉及手术,无严重并发症发生。早期组术中出血少,术后反应小,瘘孔率低,语音恢复好,对上颌骨发育无明显影响。结论:在麻醉、术后护理及手术技术条件具备下,早期手术具有明显优势。

Objective：To approach clinical therapeutic effect of earlier period infant cleft palate repair. Methods： 232 patients with cleft palate were divided into early phase group, defering group and the later period group according to the age, adopt an air tube and general anaesthesia to carry out palatorrhaphy. The conditions in and after the operation were compared. 157 patients were carried out the regular follow-up for 3-4 years. Results： All the 232 patients could tolerant anesthesia and operation without severe complication. The early phase group showed less bleeding in the operation, minor response after the operation, lower fistulous opening probability and better phonetic sound recovery without obviously influence to maxilla development. Conclusion：To be provided with anesthetizing, postoperative care and surgical specification, early phase operation has obvious advantage.