新生儿肿胀技术局部麻醉唇裂修复术  

Tumescent technique of newborn babies under local anaesthesla to restore cleft lir

作　　者：王志海[1] 康宁[1] 周兴亮[2] 杨健军[1] 王凤安[1] 

机构地区：[1]山东省交通医院烧伤整形科,山东济南250031 [2]山东大学第二医院整形美容中心

出　　处：《中国实用美容整形外科杂志》2005年第3期149-150,共2页

摘　　要：目的探讨新生儿唇裂修复术的手术时机、麻醉和术式。方法肿胀麻醉液的配方基本同Klein氏液。手术时机选择生后2、3天。术式选择Millard法,即旋转推进法,同时进行口轮匝肌重建。结果解决了新生儿唇裂整复术因上唇嫩小,结构特征难以准确对合及口轮匝肌重建等问题。经过1、2年随访,手术效果理想。结论新生儿可以在肿胀麻醉下即时进行唇裂修复术,效果良好。Objective To discuss the restoring skill′s opportunity, anaesthesia and skill type of cleft lip in newborn babies. Methods The prescription of swelling anaesthesia was basicly the same as Klein liquid. Operative opportunity was chosen after being born 2,3 days. With selecting skill type of Millard law (i.e. spin-carry law forward), at the same time carried out ship circle muscle reconstruction. Results The problems of restoring skill of newborn babies′s cleft lip because of labrum tender little, structural feature hardly accurate for suit, and ship circle muscle reconstruction. Were solved followed up for 1,2 years, operative effect was ideal. Conclusion Newborn babies may carry out restoring skill of cleft lip immediately under swelling anaesthesia, the effect is good.

关 键 词：新生儿 肿胀技术 唇裂修复 

分 类 号：R722.1[医药卫生—儿科]