Sommerlad腭帆提肌重建术后腭长度的变化

发布时间：2018-06-22 11:26

本文选题：不完全腭裂 + Sommerlad腭帆提肌重建术　；参考：《上海口腔医学》2014年06期

【摘要】：目的 :研究Sommerlad腭帆提肌重建术是否能有效延长腭部长度。方法 :随机选择65例年龄在10~13个月的不完全性腭裂患者为研究对象,由同一名外科医师施行Sommerlad腭帆提肌重建术,在手术放大镜下进行腭裂整复,术前及术后即刻采用手术测量纸尺测量中切牙交汇处腭侧牙龈到腭垂尖端的直线距离和曲线距离。应用SPSS 19.0软件包对手术前、后数据进行配对资料t检验。结果:Sommerlad腭帆提肌重建术前,腭部的直线长度为(44.24±0.76)mm,曲线长度为(53.11±0.74)mm;术后腭部的直线长度为(48.81±0.72)mm,曲线长度为(59.41±0.88)mm。腭部直线长度延长约(4.56±0.27)mm,平均增加约10.31%,手术前、后直线长度比较有显著差异(P0.01);腭部曲线长度延长(6.30±0.43)mm,平均增加约11.86%,手术前、后曲线长度比较有显著差异(P0.01)。结论:Sommerlad腭帆提肌重建术能有效延长腭部长度,有利于患者正常的语音恢复及腭咽闭合。
[Abstract]:Objective: to study whether Sommerlad reconstruction of levator palatalis muscle can effectively prolong the length of palate. Methods: Sixty-five patients with incomplete cleft palate aged 10 ~ 13 months were randomly selected. Sommerlad levator palatalis muscle reconstruction was performed by the same surgeon and cleft palate was repaired under a magnifying glass. The distance between the palatine gingiva and the palatoptosis tip of the central incisor was measured with a paper ruler before and immediately after operation. SPSS 19.0 software package was used to test the data before and after operation. Results the straight line length of palate was (44.24 卤0.76) mm, the length of curve was (53.11 卤0.74) mm, the length of straight line was (48.81 卤0.72) mm and the length of curve was (59.41 卤0.88) mm. The length of straight line of palate was prolonged about (4.56 卤0.27) mm, the average increase was about 10.31 mm, there was significant difference before and after operation (P0.01), the length of curve of palate was prolonged (6.30 卤0.43) mm, the average increase was about 11.86 mm, the length of posterior curve was significantly different before operation (P0.01). Conclusion the reconstruction of the levator palatalis palatine muscle with 1% Sommerlad can prolong the length of palate effectively, and is beneficial to the normal speech recovery and palatopharynx closure.
【作者单位】：青岛大学附属医院黄岛院区口腔科;青岛大学附属医院口腔临床重点实验室;四川大学口腔疾病研究国家重点实验室华西口腔医院唇腭裂外科;
【基金】：山东省高校科技计划(J12LK57)~~
【分类号】：R782.2

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