软腭后上推移腭裂整复术的初步研究  

A Preliminary Study of the Cleft Palate Repair by Elevating and Pushing Back Soft Palate

作　　者：童庆春 金志勤[2] 徐嘉莉 马丽华 

机构地区：[1]上海市嘉定区中心医院口腔科,上海201800 [2]青岛大学医学院,山东青岛266003

出　　处：《河北医学》2006年第9期858-860,共3页Hebei Medicine

摘　　要：目的：探讨腭裂功能性整复术的新方法。方法：55例先天性Ⅱ、Ⅲ度腭裂患者犁骨后缘正中纵向剖开，分别形成两犁骨后缘犁骨粘膜瓣，将腭帆提肌止点连同同部位软腭鼻腔侧粘膜一起缝合于犁骨后缘犁骨粘膜瓣顶点上，上提后推软腭，再缝合口腔侧粘膜。结果：采用本术式整复55例腭裂患者，术后一期愈合率为96．4％，随访1～3年，获得了满意的语音功能。结论：本术式上提后推了软腭，达到了良好的腭咽闭合，可视为一种较好的功能性修复方法。Objective： To introduce a new method for functional cleft palate repair. Method： Posterior vomer mucoperiosteal flap （PVMF） was designed by dissecting the posterior vomer, and then each side of PVMF was sutured with the same side mucosal flap and the levator veil palatini. Result： This method was applied in 55 cases with satisfactory results of extending and elevating soft palate, and achieving velopharyngeal closure（VPC）. All cases were followed up for 1 -3 years, the effects of operation are stable. Conclusion ： The method not only close the cleft but restore the soft palate ＇ s function of elevating and pushing back to achieve the idea VPC.

关 键 词：腭裂 颌面修复术 语音 

分 类 号：R782.22[医药卫生—口腔医学]