完全性唇腭裂婴儿期手术对上颌骨发育的影响

The effect of early cleft palate repair on maxillary growth in infantile complete cleft lip and palate children

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:18例完全性唇腭裂患儿在婴儿期接受唇腭裂手术作为唇腭裂修复组,随访时平均年龄(10.15±0.76)岁;10例未行唇腭裂手术的单纯唇裂患儿为单纯唇腭裂组,随访时平均年龄(10.25±0.75)岁;另20例正常的10岁龄学童作为正常对照组。三组分别取头颅侧位片与上牙颌模型,进行测量分析。结果:两组唇腭裂患儿之间的上颌骨发育无明显差异(P>0.05),与正常对照组比较,均有生长抑制(P<0.05)。结论:早期对完全性唇腭裂患儿行唇裂修复术对上颌骨发育的影响不大,还可以使患者获得正常的语言功能。

Objective： To observe the effect of infantile cleft palate repair on maxillary growth in children with complete cleft lip and palate.Methods： 18 children 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,10 children received cleft lip and palate repair in infancy,the mean age was（10.15±0.76） years in follow-up.In the cleft lip repair group（10 patients）,cleft lip repair was performed without cleft palate surgery in infancy,the mean age of this group was（10.25±0.75） years in follow-up.20 cases of noncleft children（ages 10） were normal control group.The X-ray cephalometry and dentognathic models of three groups 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（P0.05）;but compared with the normal group,the cleft lip and palate patients all had the growth inhibition（P0.05）.Conclusion： The cleft palate repair is not the reason of the difference existing.Earlier cleft palate operation is favorable to functional recovery for infants.