Furlow反向双Z法腭裂修复术后腭瘘发生率的研究(1)
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[摘要]目的:研究腭裂Furlow术后瘘的发生率以及影响因素。方法:对53例腭裂修复术后瘘的发生率和可能影响瘘发生的因素如性别、年龄、腭裂类型、裂隙的程度进行回顾性研究。结果:总瘘孔率为18.86%(10/53),瘘孔率最高为硬腭前部(64%),其次为软硬腭交界处及硬腭部(分别为18%),瘘孔率最低为软腭区域(0%)(P<0.05)。男性与女性患者瘘的发生率无统计学上差异(P>0.05)。单侧完全性腭裂组(UCCLP,24%)和双侧完全性腭裂组(BCCLP,36.7%)瘘发生率高于硬软腭裂组(HSCP,0%)和软腭裂组(SCP,0%),但无统计学上差异(P>0.05),完全性腭裂组瘘的发生率高于不完全性腭裂组(P<0.05)。结论:腭裂术后腭瘘的发生与腭裂的类型有关,Furlow术式修复腭裂可减少软腭、软硬腭交界处的腭瘘发生率。但相对的有增加完全性腭裂硬腭前部腭瘘发生率的可能。
[关键词]腭裂;Furlow反向双Z腭裂修复术;瘘
[中图分类号]R782[文献标识码]A[文章编号]1008-6455(2010)08-1146-03
Incidence of cleft palate fistula after Furlow's double-opposing Z-palatoplasty
XIE Si-tian,ZHANG Wan-cong,PENG Li-hong,TANG Shi-jie
(Cleft Lip And Palate Treatment Center,Second Affiliated Hospital of Medical College of Shantou University Shantou 515041,Guangdong,China)
Abstract:ObjectiveTo investigate the incidence of palatal fistula and the correlative factors influencing palatal fistula after Furlow's double-opposing Z-palatoplasty.MethodsA retrospective review of 53 consecutive cleft palate cases was performed to determine the incidence of post operative fistula, and assessed possible contributing factors such as sex, age, cleft type.ResultsFistulas occurred in 10 of 53 patients(18.86% ),64% fistulas were located at the anterior hard palate . 18% fistulas at the hard palate and the junction of the hard and soft palate, and 0% in the soft palate (P<0.05).There was no evidence to suggest that sex, age were associated with the formation of fistulas. The incidence of cleft palate fistulas in bilateral complete cleft palate(BCCLP,36.7%) and unilateral complete cleft palate (UCCLP,24%) were higher than that in hard and soft cleft palate (HSCP,0%) andsoft cleft palate(SCP,0%). However there was no difference(P>0.05).The incidence in complete cleft palate was higher than that in incomplete (P<0.05). ConclusionFistula occurrence is related most to cleft type.Furlow's double-opposing Z-palatoplasty can reduce the incidence of fistulas at the soft palate and the junction of the hard and soft palate. However, It can increase the incidence at the anterior hard palate comparatively ......
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