环扎子的研制及其在腭咽环扎术中的应用  

To develop a ring ligator and to discuss the application of it in velopharyngeal ring ligation procedure

作　　者：张国辉 罗琛 吴雯 王明光 罗国钦 孙树征[2] 

机构地区：[1]枣庄市口腔医院,山东省枣庄277100 [2]山东省立医院口腔颌面外科

出　　处：《中国基层医药》2008年第9期1485-1486,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的研制环扎子用于腭咽环扎术，改进腭咽环扎术中不同年龄组患者腭咽部环扎时咽腔缩窄程度难以量化的问题。方法将3—17岁的腭裂患者，按年龄大小（3～17岁）分为5组，根据各年龄组患者正常咽腔大小制作5种不同型号的环扎子用于术中，使腭咽部环扎之松紧度得到量化。结果应用环扎子及未应用环扎子行后推腭咽环扎术131例腭裂患者，全部创口Ⅰ期愈合，没有发生感染及复裂等并发症。应用环扎子于后推腭咽环扣外科活结环扎术89例中，有1例因误选了小一型号的环扎子，造成环扎过紧，麻醉复苏时拔管后呼吸窘迫立即拆除环扎线后呼吸正常，其余88例麻醉复苏时拔管顺利。全部病例术后语音显著改善或完全恢复正常。结论环扎子在腭咽环扎术中应用，对不同年龄组患者的咽腔缩窄程度进行量化，其使用方法简便，易于临床推广应用。Objective To study how to improve velopharyngeal ring ligation procedure by using ring ligator in velopharyngeal ring ligation procedure and settle the problem that there is no standard to measure the interspace of the cavity of pharynx. Methods Select some cleft palate patients who were between 3 to 17 ages. Then made five groups according to age （3 to 5, 6 to 8, 9to 11, 12 to 14, 15 to 17）. Then made five different types of ring ligators accrding to the normal size of the cavity of pharynx of different ages. Results The ring ligators were easily used and all the patients were repaired satisfied. Conclusion The application of ring ligator in velopharyngeal ring ligation procedure is simple and feasible.

关 键 词：腭裂 腭咽闭合不全 腭咽环扎术 环扎子 

分 类 号：R7[医药卫生—临床医学]