279例腭隐裂临床回顾分析  

A clinical analysis of 279 patients with submucous cleft palate

作　　者：杜长江 周侠[1] 马莲[1] DU Chang-jiang;ZHOU Xia;MA Lian(Department of Oral And Maxillofacial Surgery,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases,National Engineering Laboratory for Digital and Material Technology of Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院口腔颌面外科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔数字化医疗技术和材料国家工程实验室,北京100081

出　　处：《中国口腔颌面外科杂志》2021年第5期464-468,共5页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:总结腭隐裂患者的流行病学特征,分析患者的手术年龄、就诊原因及伴发其他疾病和(或)畸形情况。方法:通过查询在北京大学口腔医院2013年1月1日—2020年12月31日经同一医师治疗的279例连续腭隐裂患者的病历资料进行回顾分析,对手术年龄、就诊原因及伴发其他疾病和(或)畸形的百分比进行统计分析。结果:经统计,手术年龄为6个月~35岁2个月,平均手术年龄为5岁5个月,手术年龄中位数为4岁2个月。伴发其他疾病和(或)畸形所占百分比为21.9%(61/279),其中唇裂55.7%(34/61),伴明确综合征24.6%(15/61),其他19.7%(12/61)。以发音不清为主诉患者占69.5%(194/279),以腭部形态异常就诊患者占18.6%(52/279),因其他原因就诊患者占11.9%(33/279)。结论:腭隐裂患者的平均手术年龄明显晚于腭裂患者,伴其他疾病和(或)畸形的患者中,唇裂占半数以上;因发音不清就诊的患者占半数以上。PURPOSE:To analyze the data collected from medical records for 279 submucous cleft palate patients which included age of operation, reasons for admitting into hospital and accompanied diseases. METHODS: A retrospective study was conducted on 279 patients receiving treatment for submucous cleft palate from 2013.01.01 to 2020.12.31 in Peking University Hospital of Stomatology. The following items from medical records were collected: age of operation, rea-sons for admitting into hospital and the types of accompanied diseases(cleft lip, well-known syndromes, chromosomal dis-eases, hearing impairment and intelligence retardation). The reasons for admitting into the hospital were divided into three types: speech problem, morphological abnormality on hard and/or soft palate, and others. RESULTS: The average age of operation on submucous cleft palate patients in this cohort was 5 years and 5 months and the median age was 4 years and2 months old. Age range was from 6 months to 35 years and 2 months. Cleft lip occurred in 34(12.2%) patients, and 15(5.4%) patients suffered from well-known syndromes. Regarding to the reasons for admitting into hospital, 194(69.5%) pa-tients were due to unclear speech. Morphological abnormality of hard and/or soft palate occurred in 52(18.6%) and 33(11.9%) patients were due to other reasons for medical treatment. CONCLUSIONS: The operation age of patients with submucous cleft palate was significantly later than cleft palate patients. Patients with cleft lip accounted for more than half of patients with accompanied diseases. More than half of patients with submucous cleft palate admitted into hospital were due to speech problems.

关 键 词：腭隐裂 手术年龄 就诊原因 流行病学 

分 类 号：R782.2[医药卫生—口腔医学]