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唇裂下三角瓣修复法唇红术式新探山西医学院第二附属医院（０３０００１）范永斌，季泉海近年来我们在对１８例单侧唇裂患儿进行下三角瓣修复法中，采用相对固定的唇红术式进行修复，均获得了较满意效果，现报道如下。资料和方法一、资料：本组１８例，男７例，女１１例，年龄５／１２～６岁，平均２．２岁，其中完全唇裂１５例，不完全唇裂３例。术后随访７例，随访时间２月～２年，平均为１０月。对照组２５例，均为非唇红术式的下三角瓣修复术后患者，男１１例，女１４例，年龄３．２～２３岁，平均１３。７岁，其中完全唇裂１７例，不完全唇裂８例，术后随访时间２，０～６年，平均３．４年。二、方法：分二个步骤进行（唇白与唇红分别切开缝合）。①依据口腔颌面外科学（高校统编教材第二版）介绍的下三角瓣手术法为标准，定点划线唇部皮肤及唇红缘，切开并缝合皮肤及唇红缘同传统手术方法，患侧近远中线留唇红部保留不切除。②以患侧唇峰４点向唇红部外下方斜行划第一条线，长约４～６毫米，以切开的唇红缘组织距４点２～３毫米处为起点，向唇红外下划第二条线，长约８～１０毫米，使第一条线终点相交于第二条线上，呈倒入型，其Ｖ型部呈楔形切除，切口均深达肌层。近中患侧以残留唇红尖端为起点
In recent years, we in 18 cases of unilateral cleft lip in children under the triangular flap repair method, the use of relatively fixed lip Red surgery repair, have been more satisfied with the results are reported below. Materials and Methods First, the data: The group of 18 patients, 7 males and 11 females, aged 5/12 to 6 years, an average of 2.2 years, of which 15 cases of complete cleft lip, lip cleft lip in 3 cases. Seven cases were followed up for 2 months to 2 years with an average of 10 months. The control group of 25 patients were non-lip red surgery under the valve repair, 11 males and 14 females, aged 3.2 to 23 years, mean 13.7 years, of which 17 cases of complete cleft lip, not Complete cleft lip in 8 cases, follow-up time 2,06 years, an average of 3.4 years. Second, the method: in two steps (lip and lip red cut suture). ① According to the criteria of the lower triangular flap operation introduced by Oral and maxillofacial surgery (the second edition of the university unified teaching materials), the skin and lips of the lips are cut and sutured, the red edge of the skin and lip are cut and stitched together with the traditional operation methods , Ipsilateral midline near the lip red leaving the Ministry of retained not removed. ② with ipsilateral lip 4 points to the lip below the red line oblique line draw the first line, about 4 to 6 mm, to cut the lip red edge tissue from 4 points 2 to 3 millimeters as a starting point to the lips Infrared underline the second line, about 8 to 10 mm, so that the first line of the end of the line intersects the second line, was poured into the type, the V-shaped wedge-shaped resection, the incision were all deep muscularis. Near the affected side to the remaining lip red tip as a starting point