摘要
目的 :探讨 8岁以上单侧完全性腭裂患者同期腭裂修复与齿槽嵴裂植骨的可行性及植骨效果。方法 :对 38例同期腭裂修复与齿槽嵴裂植骨的腭裂患者作回顾性研究。患者年龄 8～ 2 4岁 ,平均年龄为 14 7岁。分析手术时间、术中出血、术后恢复和创口愈合情况。术后随访 12月以上 ,对随访的X线片进行植骨效果的客观评价。结果 :所有手术均顺利完成 ,平均手术时间比单纯改良兰氏腭裂修复手术多 37min ,没有明显增加术中出血量 ,患者术后恢复好 ,无创口感染和植入骨暴露 ,植骨的临床成功率为 89 5 % ,与单纯齿槽嵴裂植骨相近。结论 :大龄腭裂患者的同期腭裂修复和齿槽嵴裂植骨是安全和可行的。
Objective: To analyze the applicability and results of simultaneous primary palate repair and alveolar bone grafting in unoperated cleft lip and palate patients over 8 years old. Methods: A retrospective study was performed in a group of unoperated cleft palate patients who received simultaneous primary palate repair and alveolar bone grafting. Between December 1990 and March 1998, a consecutive of 38 complete unilateral cleft lip and palate patients were treated by the procedures of simultaneous primary cleft palate repair and alveolar bone grafting at the Peking University of Cleft Lip and Palate Tretment Center. All the patients had their lip repaired before they were admitted. The age range was 8 to 24 years, with the average of 14 7 years old. The duration of operation as well as the blood loss during the operation was recorded, and compared with those patients who only received alveolar bone grafting. All the patients have been followed up for at least twelve months, and the results of bone grafting were evaluated according to radiographs. Results: All the operations were successful, and the wound healed well. Compared with simple alveolar bone grafting, simultaneous primary palate repair and alveolar bone grafting prolonged the operation time to an average of 37 minutes. The procedure of simultaneous primary palate repair and alveolar bone grafting did not prolong the operating time compared with simple alveolar bone grafting and no blood transfusion due to bone grafting was needed. All the wounds both in the grafted area and donor site healed uneventfully. No major complications occurred during or shortly after the operation. The overall clinical successful rate of alveolar bone grafting in this group of patients was 89 5%. Conclusion: Simultaneous primary palate repair and alveolar bone grafting are safe and applicable procedure for unoperated cleft palate patients, and this procedure should be performed in those unoperated cleft palate patients above 8 years old.
出处
《华西口腔医学杂志》
CAS
CSCD
北大核心
2000年第5期323-325,共3页
West China Journal of Stomatology
关键词
腭裂
齿槽嵴裂
植骨
修复
cleft lip and palate\ \ alveolar cleft\ \ bone grafting
