Sommerlad-Furlow法修复腭裂术后儿童上颌牙弓发育影响因素的研究  

Factors influencing maxillary dental arch development in children after Sommerlad-Furlow palatoplasty

作　　者：王珏[1] 李媛媛 吴敏[1] 石冰[1] 郑谦[1] 刘人恺[2] 李承浩[1] Wang Jue;Li Yuanyuan;Wu Ming;Shi Bing;Zheng Qian;Liu Renkai;Li Chenghao(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Pediatric Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科,成都610041 [2]口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院儿童口腔科,成都610041

出　　处：《华西口腔医学杂志》2025年第2期197-203,共7页West China Journal of Stomatology

基　　金：四川省科技厅中央引导地方科技发展项目(2023ZYD-0111);时代天使隐形矫治科研专项基金(21H0900);四川大学华西口腔医院临床研究项目(LCYJ-MS-202306)。

摘　　要：目的研究0~6岁腭裂患者经Sommerlad-Furlow(SF)法腭裂修复术后上颌牙弓的发育变化影响因素。方法纳入18月龄前行SF法腭裂一期整复的患者共183例,术后在不同年龄段随访并收集上颌牙弓数字化模型,使用3-matic Research 12.0测量牙弓及腭弓的长度和宽度,探究SF法腭裂修复术后患者0~6岁上颌牙弓的发育变化规律,以及性别、年龄、腭裂类型和松弛切口对上颌牙弓发育的影响。结果SF法腭裂修复术后,0~2岁与3~6岁上颌牙弓长度及宽度部分指标差异有统计学意义(P<0.05),3~6岁各年龄段指标间差异无统计学意义;男性后牙弓宽度及后腭弓宽度大于女性(P=0.001),男性前牙弓长度及全牙弓长度小于女性(P<0.05);相较于单纯腭裂组,单侧唇裂伴腭裂组牙弓长度更短(P<0.01),而后腭弓更宽(P<0.01);有无硬腭松弛切口组间上颌牙弓的各指标差异无统计学意义。结论影响0~6岁SF法腭裂修复术后儿童牙弓宽度的主要因素是性别和年龄,而影响牙弓长度的主要因素是年龄和腭裂类型。Objective This study aims to investigate factors influencing dental arch development in patients aged 0-6 years with cleft palate after Sommerlad-Furlow(SF)palatoplasty.Methods A total of 183 patients who underwent primary SF repair for cleft lip and palate before 18 months of age were included.Follow-ups were conducted at different ages,and digital dental casts of the maxillary dental arch were obtained using 3-matic Research 12.0 software.The length and width of the dental arch and palate were measured to explore developmental changes in the maxillary dental arch of the patients after the procedure.The study also investigated the influence of gender,age,cleft palate type,and relaxation incision on maxillary dental arch development.Results After SF,maxillary dental arch measurements showed statistically significant differences between children aged 0-2 years and those aged 3-6 years(P<0.05).However,no statistically significant differences were observed among different age groups within the 3-6 years range.Statistically significant differences were detected between males and females,with males having greater width of the posterior dental arch and palate(P=0.001)and shorter length of the anterior dental arch and entire dental arch(P<0.05).The unilateral cleft lip and palate group had shorter dental arch length(P<0.01)and wider posterior palate(P<0.01)than the cleft palate only group.Maxillary dental arch measurements had no statistically significant differences between groups with or without a relaxing incision.Conclusion Gender and age influence the width of the maxillary dental arch in children aged 0-6 years after SF,while age and cleft palate type affect dental arch length.

关 键 词：腭裂 Sommerlad-Furlow法腭裂修复术 鼻咽旁松弛切口 上颌牙弓 

分 类 号：R782.22[医药卫生—口腔医学]