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Sommerlad法与两瓣法在腭裂修复中的初步比较
A Comparison of 2-flap and Sommerlad in Surgical Repair of Cleft Palate
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摘要: 目的 通过比较Sommerlad法与两瓣法两种腭裂修复方法,分析何种术式更适用于腭裂的治疗。 方法 对既往完成的30例腭裂患者15例采用sommerlad法(单侧完全性9例,不完全性6例),15例采用两瓣法(单侧完全性10例,不完全性5例)施行手术,行手术情况及术后3~6月后部分指标比较。 结果 Sommerlad法的手术时间多于两瓣法,但差异无统计学意义(P>0.05),Sommerlad法失血量少于两瓣法(P<0.05),两法术后软腭动度、腭咽闭合功能差异无统计学意义(P>0.05),Sommerlad法术后软腭瓣痕优于两瓣法(P<0.05)。 结论 两法均有较好的腭裂修复效果,术者应根据患者的畸形情况和术者对两种方法的掌握程度选择使用。Abstract: Objective To compare 2-flap and Sommerlad in surgical repair of cleft palate. Methods 30 patients with cleft palate were equally divided into two groups.One group accepted sommerlad operation (9 unilateral complete and 6 incomplete cases); the other group accepted 2-flap operation (10 unilateral complete and 5 incomplete cases). Results Sommerlad operation lasted longer than 2-flap operation, but without statistical significance (P>0.05). The two types operations produced similar functional recovery (P>0.05). The Sommerlad operation had less intraoperation blood loss and left softer palate scars than the 2-flap operation (P<0.05). Conclusion Sommerlad operation and 2-flap operation are both effective. Different methods should be considered based on the abnormal situation of patients and the operation proficiency of the surgeons.
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