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我科1972年5月至1987年3月收治的280例腭裂病人中,术后发生穿孔38例,现对其发生原因及预防措施等进行分析。1 临床资料1.1 穿孔率.280例中,穿孔38例,占13.6％。1.2 腭裂类型与穿孔例数.软腭裂8例,占21.5％;不完全腭裂6例,占15.7％;单侧完全腭裂18例,占47.3％;双侧完全腭裂6例,占15.7％。1.3 手术方法与穿孔例数.二瓣整复术24例,占63％;二瓣整复术加颊粘膜瓣术2例,占5％;二瓣整复术加咽后壁瓣术6例,占16％;单瓣整复术6例,占16％。1.4 穿孔部位.硬腭前部5例,占13.2％;软硬腭交界处19例,占50％;软腭4例,占10.5％;悬雍垂10例,占26.3％。
In our department from May 1972 to March 1987 admitted 280 cases of cleft palate, the perforation occurred in 38 cases, now its causes and preventive measures were analyzed. 1 clinical data 1.1 perforation rate .280 cases, perforation in 38 cases, accounting for 13.6%. 1.2 Cleft palate type and number of perforation cases. Cleft palate in 8 cases, accounting for 21.5%; incomplete cleft palate in 6 cases, accounting for 15.7%; unilateral complete cleft palate in 18 cases, accounting for 47.3%; bilateral complete cleft palate in 6 cases, accounting for 15.7%. 1.3 surgical methods and the number of perforation cases. Two cases of total plastic surgery in 24 cases, accounting for 63%; two plastic surgery combined with buccal mucosal flap in 2 cases, 5%; two flap surgery combined with posterior wall flap surgery in 6 cases , Accounting for 16%; single flap surgery in 6 cases, accounting for 16%. 1.4 perforation site. 5 cases of anterior hard palate, accounting for 13.2%; 19 cases of soft and hard palate junction, accounting for 50%; soft palate in 4 cases, accounting for 10.5%; uvula in 10 cases, accounting for 26.3%.