三瓣法预防腭裂术后腭前瘘临床效果观察  

Observation of the clinical effects of three-flap paltoplasty in preventing anterior palatal fistula

作　　者：邹瑞[1] 欧阳可雄[1] 何锦泉[1] 周丽斌[1] 黄珞[1] 张君伟[1] 朴正国[1] ZOU Rui;OUYANG Kexiong;HE Jingquan;ZHOU Libin;HUANG Luo;ZHANG Junwei;PIAO Zhengguo(Department of Oral and Maxillofacial Surgery,Stomatology Hospital of Guangzhou Medical University,Guangzhou Institute of Oral Disease,Key Laboratory of Oral Medicine,Guangzhou 510140,China)

机构地区：[1]广州医科大学附属口腔医院口腔颌面外科广州口腔疾病研究所口腔医学重点实验室,广东广州510140

出　　处：《口腔疾病防治》2018年第8期530-532,共3页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：广东省科技计划项目(2012B032000012)

摘　　要：目的观察腭前部裂隙大于0.5 cm的腭裂患者,应用三瓣法预防腭裂术后腭前瘘的效果。方法选取18~24月腭裂患儿12例,患儿均为单侧完全性腭裂,采用三瓣法修复,即在传统两瓣法基础上,在患儿健侧腭前部做一蒂部在裂隙缘、大小约占前腭一半左右的黏骨膜瓣,翻转与对侧鼻腔黏膜边缘缝合,松弛裂隙两侧黏骨膜瓣分层对位缝合,术后两周拆线,随访观察腭裂术口恢复情况。结果 12例患儿术后愈合良好,3个月后无腭瘘以及其他并发症,效果良好,腭部形态良好。结论三瓣法修复腭裂可以较好封闭腭前部裂隙。Objective Exploring the effect of three-flap paltoplasty in preventing anterior palatal fistula for patients whose anterior fissures measured more than 0.5 cm. Methods 12 patients aged 18-24 months with unilateral complete cleft palate were selected for the implementation of three-flap paltoplasty for cleft palate repair. Briefly, three-flap paltoplasty is based on the traditional two-flap paltoplasty method and involves the creation of a mucoperiosteal flap A in the contralateral palate in front of the fissure margin that is approximately half the size of the anterior palate. The flap A was sutured to the edge of the contralateral nasal mucosa, and the mucoperior flap of both sides of the loose fissure was sutured in layers, and the suture was removed two weeks after surgery. The recovery of cleft palate was observed. Results All patients were followed up for 3 months, and 12 patients underwent successful repairs with no fistula and other complications. Conclusion Three-flap paltoplasty is an effective method of preventing anterior palatal fistula.

关 键 词：腭裂 腭前瘘 三瓣法 适应证 临床效果 

分 类 号：R782.2[医药卫生—口腔医学]