缝牵引成骨术修复腭裂临床研究  

Clinical study of suture distraction osteogenesis for the repair of cleft palate

作　　者：张树标[1] 王敬旭[1] 刘江峰[1] 余伟明[1] 易晓辉[1] 

机构地区：[1]广州医学院第一附属医院口腔颌面外科,510120

出　　处：《实用口腔医学杂志》2006年第4期527-529,共3页Journal of Practical Stomatology

摘　　要：目的：探讨腭缝牵引成骨临床修复腭裂的新方法。方法：11例腭裂患儿一期在腭部放置腭裂牵引器，向前、后、内3方向牵引腭成骨，2～4个月裂隙明显缩窄后二期拉拢缝合裂隙。结果：除1例15d时牵引器脱落外，余10例均收到预期效果，牵引后裂隙平均缩窄至2．3mm，平均缩小9．4mm；平均硬腭长度延长5．5mm。随访3个月，硬腭长度无回缩。结论：缝牵引成骨术能诱导组织再生，缩窄裂隙并延长硬腭。Objective：To evaluate the feasibility of suture distraction osteogenesis as a new technique for the repair of cleft palate. Methods ： 11 children aged 1 - 3 years old with cleft palate were treated. A custom-made intraoral distractor was fixed to the hard palate, which could distract the edge of hard palate towards frontside, backside and midline. 2 to 4 months later, the residual cleft was repaired by direct suture of muco-periosteum. Results： One patient was paused due to dislocation of the distractor 15 days after application, while remarkable changes were observed in the rest l0 patiets. The width of the palate cleft decrease by 9.4 mm on average and the width of the residul cleft was 2.3 mm. The average length of the hard palate increased by 5.5 mm. No retreat of hard palate was observed 3 months after treatment. Conclusion： Suture distraction osteogenesis may decrease the width of palate cleft and lengthen the hard palate of children with cleft palate.

关 键 词：牵引成骨 腭裂 治疗 

分 类 号：R782.22[医药卫生—口腔医学]