568例腭裂手术治疗分析

Clinical analysis of surgical treatment of 568 cleft palate patients

目的:回顾总结568例腭裂手术治疗的效果与经验。方法:对568例不同年龄、性别的腭裂患者行手术治疗,术式均以两瓣法为主。术中配合使用高频电刀,两侧松弛切口填塞碘仿纱条或可吸收性止血纱布。观察其术后的饮食、体温变化、创口愈合情况及有无出血、复裂或穿孔等并发症。结果:全部病例术后均无明显感染征象,其中出现发热24例,多为术创填塞碘仿纱条者,而且恢复正常饮食时间亦较迟;并发术后出血8例,复裂或穿孔13例。结论:腭裂术中使用高频电刀,可明显减少手术出血量,一般无需输血;两侧松弛切口填塞止血纱布,更有利于创口愈合及术后康复;术中应尽量减少硬腭裸露骨面和手术创伤,以降低对上颌骨生长发育的抑制作用。

PURPOSE： To summarize the outcomes of surgical treatment of 568 cleft palate patients. METHODS： 568 cleft palate patients of different age, gender were operated with the help of high-frequency electric knife. Iodoform gauze packing or absorbable hemostatlc gauze was used on both sides of the relaxation incision. After surgery, the diet, temperature ehanges, wound healing and bleeding, postoperative cleft or perforation were observed and analyzed. RESULTS： Postoperative infection was not found in all cases. 24 patients had fever, most of them used iodoform gauze packing on both sides of the relaxation incision, returned to normal diet in longer time. 8 patients developed bleeding and 13 had postoperative cleft or perforation. CONCLUSIONS： It is suggested that intraoperative high-frequency electric knife can be used for cleft palate surgery to reduce the amount of bleeding,the use of absorbable hemostatic gauze is more helpful for wound healing and postoperative reeovery.