472例腭裂患者术后并发症发生的原因及防治措施

Analysis on the causes of complications after palatoplasty in 472 cases of cleft palate and the preventive and control measures

目的分析腭裂修复术后发生并发症的原因,探讨其预防措施。方法回顾性分析2000年1月至2011年6月472例住院行腭裂手术治疗患者的临床诊治资料。结果 472例腭裂患者术后发生并发症19例,总发生率为4.02%。其中术后腭瘘11例,占2.33%,复裂1例,占0.21%,术后松弛切口出血2例,占0.42%,咽喉部水肿2例,占0.42%,术后中耳炎2例,占0.43%,术后疱疹性口炎1例,占0.21%。结论通过改进手术方法和提高术后护理质量可以降低腭裂术后并发症的发生。

Objective To analyze the causes of the complications after palatoplasty and to investigate the measures for the prevention and control of the complications. Methods The clinical data of 472 patients of cleft pal- ate treated by palatoplasty from Jan. 2000 to Jun. 2011 were retrospectively analyzed. Results Of the 472 patients, 19 patients underwent postoperative complications, with the incidence of 4.02% （19/472）, including eleven patients （2.33%） with palatal fistula, one （0.21%） with completely fissure, two （0.42%） with postoperative bleeding, two （0.42%） with edema of the throat, two （0.42%） with postoperative otitis media, and one （0.21%） with postoperative herpetic stomatitis. Conclusion The postoperative complications after palatoplasty can be reduced through improv- ing surgical methods and the quality of postoperative care.