改良Bardach两大瓣法联合Furlow法修复宽大腭裂的临床效果  

Application of modified Bardach two-flaps palatoplasty combined modified Furlow double-opposing Zplasty in wide palatal cleft repair

作　　者：石伦刚[1] 唐世杰[1] 彭立红[1] 谢思田[1] Shi Lungang;Tang Shijie;Peng Lihong;Xie Sitian(Department of Plastic Surgery, the Second Affiliated Hospital of Shantou University Medical College, Shantou 515041 , China)

机构地区：[1]汕头大学医学院第二附属医院整形外科暨唇腭裂治疗中心,515041

出　　处：《中华医学美学美容杂志》2018年第3期153-156,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：国家自然基金资助项目（81571920）;广东省自然基金资助项目（2016A030313061）;汕头市医疗重点科技计划项目（汕科财教[2014]242号）

摘　　要：目的探讨改良Bardach两大瓣法联合改良Furlow法对宽大腭裂修复的临床效果。方法选取汕头大学医学院第二附属医院整形外科80例2～18岁Ⅲ度腭裂患者作为研究对象。改良Bardach两大瓣法联合改良Furlow法（改良B＋F法）设为试验组，Sommerland提肌重建腭裂修复术（S法组）设为对照组。结果试验组创面愈合优于对照组，试验组腭瘘发生率为2．5％，对照组腭瘘发生率为7．5％，试验组明显低于对照组。结论改良B＋F法对宽大腭裂修复能促进创面愈合，增加腭咽闭合率，改善发音，提高腭裂语音清晰度。ObjectiveTo explore the effectiveness of modified Bardach two-flap palatoplasty combined modified Furlow double-opposing Z-plasty in wide palatal cleft repair. Methods80 patients aged 2-18 years old with Ⅲ cleft palate from our department were divided into two groups, the experimental group （n=40） was repaired with modified Bardach two-flaps palatoplasty combined modified Furlow double-opposing Z-plasty （modified B＋ F technique）. The control group （n=40） was repaired with Sommerlad levator muscle of palatine velum reconstruction （S technique）. ResultsThe healing of incisions was better in the experimental group than the control group. The fistula rate in the experimental group was 2.5%, which seemed to be remarkable lower than that of the control group （7.5%） post operation one month. ConclusionsApplication modified Bardach two-flaps palatoplasty combined modified Furlow double-opposing Z-plasty in wide palatal cleft will promote healing of incisions, reduce the occurrence rate of cleft palate fistula, inhibit the scar contracture of soft palate, maintain the length of soft palate, augment movement of soft palate, and improve the speech quality of patients.

关 键 词：改良Bardach两大瓣法 改良Furlow法 宽大腭裂 联合 效果评价 

分 类 号：R782.22[医药卫生—口腔医学]