Sommerlad腭帆提肌重建术后腭长度的变化  

Preliminary study of palatal lengthening by levator veli palatini retropositioning according to Sommerlad palatoplasty

作　　者：肖文林[1] 袁聪[1] 石冰[2] 

机构地区：[1]青岛大学附属医院黄岛院区口腔科,青岛大学附属医院口腔临床重点实验室,山东青岛266555 [2]四川大学口腔疾病研究国家重点实验室,华西口腔医院唇腭裂外科,四川成都610041

出　　处：《上海口腔医学》2014年第6期718-721,共4页Shanghai Journal of Stomatology

基　　金：山东省高校科技计划(J12LK57)~~

摘　　要：目的 ：研究Sommerlad腭帆提肌重建术是否能有效延长腭部长度。方法 ：随机选择65例年龄在10-13个月的不完全性腭裂患者为研究对象,由同一名外科医师施行Sommerlad腭帆提肌重建术,在手术放大镜下进行腭裂整复,术前及术后即刻采用手术测量纸尺测量中切牙交汇处腭侧牙龈到腭垂尖端的直线距离和曲线距离。应用SPSS 19.0软件包对手术前、后数据进行配对资料t检验。结果：Sommerlad腭帆提肌重建术前,腭部的直线长度为（44.24±0.76）mm,曲线长度为（53.11±0.74）mm;术后腭部的直线长度为（48.81±0.72）mm,曲线长度为（59.41±0.88）mm。腭部直线长度延长约（4.56±0.27）mm,平均增加约10.31%,手术前、后直线长度比较有显著差异（P〈0.01）;腭部曲线长度延长（6.30±0.43）mm,平均增加约11.86%,手术前、后曲线长度比较有显著差异（P〈0.01）。结论：Sommerlad腭帆提肌重建术能有效延长腭部长度,有利于患者正常的语音恢复及腭咽闭合。PURPOSE： To research whether palate lengthening can be achieved after palatoplasty with levator veli palatini retropositioning according to Sommerlad palatoplasty. METHODS： Sixty-five cases with incomplete cleft palate were selected randomly, with the age ranged from 10 to 13 months. Sommerlad palatoplasty was performed by the same surgeon with operating loupes. A paper ruler was used to measure the straight-line and the curved distance of palatal length starting from the meeting point between the center of the 2 medial incisor teeth and the lingual gingiva up to the uvular tip while the patient was under general anesthesia before and immediately after palatoplasty. The data was analyzed with SPSS 19.0 software package. RESULTS： Through measurements, the straight-line distance of the palate was about （44.24±0.76） mm, and the curve-line distance of the palate was about （53.11±0.74） mm before Sommerlad palatoplasty. The straight-line distance of the palate was （48.81±0.72） mm, and the curve-line distance of the palate was （59.41±0.8） mm after Sommerlad palatoplasty. The straight-line elongation was about （4.56±0.27） mm, with the mean elongation ratio of 10.31% （P〈0.01）. The curve-line elongation was about （6.30±0.43） mm, with the mean elongation ratio of 11.86% （P〈 0.01）. CONCLUSIONS： Significant elongation in palate length is obtained after Sommerlad palatoplasty, which may be beneficial to recover the patients＇ normal speech and improve velopharyngeal competence.

关 键 词：不完全腭裂 Sommerlad腭帆提肌重建术 提肌重建 腭延长 

分 类 号：R782.2[医药卫生—口腔医学]