双U形黏膜瓣修复加局部扩张术治疗鼻咽闭锁  

Treatment of nasopharyngeal atresia with dual U-shaped mucosal flap repair and local dilatation

作　　者：张炳辉[1] 史余明[2] 刘鸣[1] 

机构地区：[1]哈尔滨医科大学附属第二医院耳鼻咽喉头颈外科,哈尔滨150086 [2]黑龙江省医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第21期966-967,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:本文探讨双U形黏膜瓣修复加局部扩张术治疗鼻咽闭锁的方法和效果。方法:选取9例后天性鼻咽闭锁患者,采用双U形黏膜瓣修复咽后壁和软腭创面,再置入扩张管。结果:6个月后取出硅胶管,鼻咽腔缩小到左右径约为2.0～2.5cm,前后径约为1.0cm的间隙。所有患者鼻腔通畅,但均有腭咽闭合不全、食物鼻腔反流。术后2年随访,患者鼻腔均通畅,睡眠、饮食均正常。1例仍有食物鼻腔反流。结论:U形黏膜瓣修复加局部扩张术是治疗鼻咽闭锁行之有效的方法。Objective：The aim of current work was to investigate the methodology and effect of dual U-shaped mucosal flap repair plus local dilatation for the treatment of nasopharyngeal atresia.Method：Nine patients with nasopharyngeal stenosis were treated with dual U-shaped flap to repair the wound of retropharyngeal and soft palate mucosa.and then dilated by implanting a silicone tube.Result：The silicone tube was removed 6months after the operation.The transverse diameter of nasopharynx maintained at about 2.0-2.5cm,and anteroposterior diameter at about 1.0cm.All cases had good nasal patency except velopharyngeal insufficiency and nasal regurgitation of food.After a 2years follow-up,all cases had a good result except one still had the nasal regurgitation of food.Conclusion：U-shaped mucosal flap repair with local dilatation is an effective method for treatment of nasopharyngeal atresia.

关 键 词：黏膜瓣 局部扩张 修复术 鼻咽闭锁 

分 类 号：R766.3[医药卫生—耳鼻咽喉科]