完全性唇腭裂婴儿期唇腭裂手术对上颌骨发育的近期影响

The preliminary effects of infantile cleft lip and palate repair on maxillary growth in complete cleft lip and palate patients

目的:观察婴儿早期行唇腭裂手术对完全性唇腭裂患儿上颌骨发育的近期影响。方法:35例完全性唇腭裂患儿分为2组,婴儿期接受唇腭裂手术的20例为唇腭裂一期修复组,随访时平均年龄(9.99±0.84)岁;15例于婴儿期行唇裂手术未接受腭裂修复的为单纯唇裂修复组,随访时平均年龄(10.24±1.14)岁;另20名无先天性唇腭裂的10岁龄学童作为正常对照组;3组分别取头颅侧位片与上牙颌模型,进行测量分析。结果:2组唇腭裂患儿之间的上颌骨发育无明显差异,与正常对照组相比较,均有生长抑制。结论:婴儿期行唇腭裂手术的完全性唇腭裂患儿在10岁左右上颌骨发育与正常儿童存在明显差异,腭裂手术不是引起差异的主要原因,可早期完成该手术。

Objective： To observe the preliminary effects of infantile cleft lip and palate repair on maxillary growth in complete cleft lip and palate patient. Methods： Thirty-five patients with complete cleft lip and palate were divided into two groups according to whether cleft palate repair was performed or not in infancy. In the one-stage repair group, twenty patients received cleft lip and palate repair in infancy, the mean age was （9.99 ± 0. 84） years in follow-up. In the cleft lip repair group （ 15 patients） , cleft lip repair was performed without cleft palate surgery in infancy. The mean age of this group was （ 10.24 ± 1.14） years in follow-up. Twenty 10 years old noneleft children were normal control group. The X-ray eephalometry and dentognathic models of three groups children were obtained and compared. Results： The data analysis of cephalometry and dental cast showed that the difference between the two groups had no obvious significance（ P 〉 0.05 ） ; but contrasting to the normal group, the two groups cleft lip and palate patients all had the growth inhibition （ P 〈 0.05 ）. Conclusion ： The complete cleft lip and palate patients with the infantile cleft lip and palate repair had obvious difference on the maxillary development with the normal children. The cleft palate repair was not the reason of the difference existing. Earlier cleft palate operation is favorable to functional recovery for infants.