单侧完全性唇腭裂患者术前鼻牙槽骨整形的回顾性研究  

The Retrospective Study on Presurgical Nasoalveolar Molding of the Patients with Unilateral Complete Cleft Lip and Palate

作　　者：沈聪聪[1] 柴岗[1] 张艳[1] 曲淼[1] 许祐荣[1] 侯亦康[1] 朱明[1] 

机构地区：[1]上海市上海交通大学医学院附属第九人民医院整复外科,200011

出　　处：《组织工程与重建外科杂志》2014年第1期56-59,共4页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：国家自然科学基金(81372097);上海市科委基金(13DZ1108905)

摘　　要：目的对接受术前鼻牙槽骨整形的单侧完全性唇腭裂患者进行回顾性研究,指导唇腭裂的术前非手术治疗。方法本研究回顾性分析了58例接受术前鼻牙槽骨整形的单侧唇腭裂患者,对正畸后未发生齿槽偏移和正畸后发生齿槽偏移的患者进行相关变量测量,并对测量结果进行统计学分析。结果本研究纳入的58例唇腭裂患者,有4例患者发生正畸后齿槽舌侧偏移,其余的54例患者正畸后未发生齿槽偏移。两组患者的前方齿槽裂隙宽度在矢状方向和垂直方向(PP’-Y、PP’-Z)存在显著差异,健侧齿槽前方与齿槽后方水平方向之间的夹角(∠PTT’)也存在统计学差异。结论单侧完全性唇腭裂患者在正畸前可能潜在齿槽偏移畸形,与前方齿槽在矢状和垂直方向裂隙畸形宽度,及健侧齿槽前方成角角度相关。无齿槽偏移患者可以直接使用矫治器缩窄裂隙宽度,而对于正畸后可能发生齿槽舌侧偏移的患者,需先矫正偏移畸形再缩小裂隙宽度。Objective To instruct the presurgical therapy for the patients with unilateral cleft lip and palate by a retrospective study on the patients treated with presurgical nasoalveolar molding. Methods Fifty-eight patients with unilateral complete cleft lip and palate were treated with presurgical nasoalveolar molding. Relevant variables of alveolar cleft before therapy were measured and analyzed, and combining with the analysis of the treatment results, the alveolar deformity was classified. Results Among the 58 patients, lingual inclination were observed in 4 patients after presurgical treatment, and no lingual inclination was observed in the other 54 patients. The anterior alveolar cleft in sagittal and vertical direction （PP’-Y, PP’-Z）, as well as the angle of healthy side （∠PTT’） had statistical differences between the patients with and without lingual inclination. Conclusion Patients with or without alveolar inclination might be related with the anterior alveolar cleft in sagittal and vertical value, and the anterior alveolar angle of healthy side. Patients with no alveolar inclination could utilize appliance to reduce the degree of alveolar cleft directly, while patients with alveolar inclination should correct inclination deformity first.

关 键 词：唇腭裂 术前鼻牙槽骨整形 分类 

分 类 号：R319[医药卫生—基础医学]