改良Mohler法修复单侧唇裂的远期临床效果  

Outcomes of unilateral cleft lip repair by extended Mohler surgery

作　　者：朱洪平[1] 周治波[1] 罗奕[1] 孙勇刚[1] 

机构地区：[1]北京大学口腔医学院口腔颌面外科,100081

出　　处：《中华医学美学美容杂志》2016年第6期325-328,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨改良Mohler法修复单侧唇裂的远期效果，以及手术适应证选择，以期获得更好治疗效果。方法应用改良Mohler法修复320例单侧唇裂患儿，患儿年龄平均5个月。对65例术后远期效果进行了评估，其中术后随访10．5～15．0年26例，术后随访6～24个月39例；并总结了手术方法要点。结果所有患儿修复效果满意，瘢痕形态基本与对侧人中嵴对称，63例（96．9％）患侧唇峰下降充分、对称，鼻畸形有不同程度改善。结论改良Mohler法是十分有效的单侧唇裂修复方法，值得推广应用。Objective To study the long term effect and practical value of unilateral cleft lip repair with extended Mohler surgery based on over 10 years experiences. Methods A lot of 320 cases with unilateral cleft lip were repaired with extended Mohler surgery at average age of 5 months and 20 days. 65 repaired cases were followed up and long term treatment result was evaluated. 26 cases were evaluated in 10.5 to 15 years after surgery. 39 cases were evaluated in 6 to 24 months after surgery. And the details of surgery were described. Results Excellent results for most of cleft patients （63 cases, 97%） were achieved, which included unobvious vertical scar symmetric to unaffected philtrum column, symmetric cupid＇s bow, nostrils and intermedial nasal columellae. Conclusions Extended Mohler surgery is great valuable for unilateral cleft lip repair. Appropriate indications should be stressed.

关 键 词：唇裂 修复 改良Mohler法 

分 类 号：R782.21[医药卫生—口腔医学]