华西改良法结合平行瓣法修复单侧唇裂的术后评价  

Postsurgical evaluation of modified method of West China plus paralleled flap in unilateral cleft lip repair

作　　者：刘家武[1] 刘汉前[1] 俞辉明[1] 刘磊[2] 

机构地区：[1]南京医科大学附属淮安一院口腔科,江苏淮安223300 [2]四川大学华西口腔医学院颌面外科,四川成都610041

出　　处：《徐州医学院学报》2011年第9期587-589,共3页Acta Academiae Medicinae Xuzhou

基　　金：教育部新世纪优秀人才支持计划资助项目（NCET-07-0578）;四川省杰出青年学科带头人培养基金资助项目（06ZQ026-008）

摘　　要：目的了解华西改良法结合平行瓣法修复单侧唇裂的术后效果。方法采用华西改良法结合平行瓣法对50例单侧唇裂患者进行整复，另选取50例采用传统Millard法整复的单侧唇裂患者作为对照组。采用对称部位长度比值衡量法测量术后患者鼻部和唇部的对称性。结果实验组患者唇部对称度为0．94～0．99，鼻部对称度为0．80～0．95，在动、静态时外形均满意。对照组患者唇部的对称度为0．90～0．95，静态时外形满意，但动态时不对称性明显增大；鼻部对称度为0．33～0．78。结论华西改良法结合平行瓣法整复单侧唇裂可取得较理想的效果，可在临床上进行推广。Objective To investigate the postoperative efficacy of the modified method of West China in combination with paralleled flap in unilateral cleft lip repair. Methods 50 patients with unilateral cleft lip underwent surgical repair and restoration with modified method of West China, with another 50 patients with unilateral cleft lip treated with conventional Millard nlethod as the control group. Measurement of length ratio of symmetric parts was used to measure the postoperative labial and nasal symmetry in the patients. Results The labial and nasal symmetry in the experimental group was 0.94 to 0.99 and 0.95 to 0.80, with satisfactory effect in both dynamic and static morphologies. The labial symmetry in the control group was 0.90 to 0.95, with satisfactory static morphology, while asymmetry significantly increased for dynamic morphology, with a nasal symmetry of 0.33 to 0.78. Conclusion Preferable efficacy can achieved in the repair and restoration of unilateral cleft lip using modified method of West China combined with paralleled flap and can be clinically generalized.

关 键 词：单侧唇裂 华西改良法 平行瓣法 

分 类 号：R782.21[医药卫生—口腔医学]