【摘要】 目的:观察比较唇裂及硬腭一期修复的手术方法与传统方法对上颌骨发育的影响。方法:将30例单侧完全性唇腭裂患儿随机分为数量相等的两组。观察组:婴儿期行唇裂及硬腭一期修复,二期行腭裂修复,随访时平均年龄(5.99±0.49)岁;对照组:婴儿期仅行唇裂修复,二期行腭裂修复,随访时平均年龄(6.05±0.54)岁;另15例无先天性唇腭裂的6岁龄儿童作为正常组;三组分别取头颅侧位片及上牙颌模型,进行测量分析。结果:两组唇腭裂患儿之间的上颌骨发育无明显差异,与正常组比较,均有生长抑制,对照组上颌骨发育受限更明显。结论:唇裂及硬腭一期修复可以适当减轻腭裂手术对上颌骨发育的影响,但与传统治疗方法相比尚无明显差异。更多还原

【Abstract】 Objective To observe the effect of one-stage repair of cleft lip and hard palate crack on the development of maxillary compared with traditional methods. Methods Thirty children with unilateral complete cleft lip and palate were randomly divided into two groups. The observation group received one-stage repair of cleft lip and hard palate crack in infancy, and cleft palate repaired at the second stage. The average age was (5.99±0.49) years old at follow-up. In the control group, only cleft lip repair was performed in infancy, and cleft palate repair was performed at the second stage. The average age was (6.05±0.54) years at follow-up. Another 15 cases of 6 years old children without congenital cleft lip and palate were considered as normal group. The X-ray cephalometry and the upper dentognathic model were taken for measurement and analysis in three groups. Results There was no significant difference in maxillary development between the two groups of children with cleft lip and palate, compared with the normal group, growth inhibition was observed in both groups, and the maxillary development restriction was more obvious in the control group. Conclusion Cleft lip and hard palate crack one-stage repair can reduced the influence of palatorrhaphy on the development of maxillary, but there was no significant difference from traditional methods.更多还原