两瓣法腭裂整复术-Bardach术式治疗腭裂125例体会

Study on repairing palatoschisis in 125 cases with Bardach's two walves procedure

目的探讨应用两瓣法腭裂整复术-Bardach术式治疗单侧及双侧腭裂的治疗效果。方法本组腭裂患者共125例,单侧104例,双侧21例,均采用Bardach术式进行腭裂整复术。术后随访半个月至3年,观察伤口愈合,软腭动度及腭咽闭合情况。结果 125例患者手术顺利,除2例穿孔外,其余患者软腭动度良好,腭咽闭合较好。结论Bardach术式治疗先天性腭裂具有安全、出血少、微创、并发症少、近远期效果佳等优点,值得同仁借鉴和推广。

Objective To explore the effect of Bardach procedure in repairing unilateral and bilateral cleft palate. Methods Velopha- ryngeal closure with Bardach procedure had been performed in one hundred and twenty five patients with cleft palate including 104 cases of unilat- eral cleft palate and 21 cases of bilateral cleft palate, and they were evaluated after follow - up for 15 days to 3 years. Bardach and Landolt pro- cedures were compared in complications, wound healing, and degree of movement of soft palate. Results These one hundred and twenty - five patients were smoothly operated, except perforation occurred in 2 cases. Conclusion The repairing of congenital cleft palate with Bardach proce- dure is safe, less bleeding, minimally invasive, less complications and fine short term and long term effect, hence it is worthy to be recommended for clinical application.