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目的 探讨反向双“Z”成形术在腭裂修复中的应用价值。方法 采用反向双“Z”成形术 ,将腭裂患儿异位的腭帆提肌恢复到正常的解剖位置 ,并使软腭在一定程度上得以延长。结果 19例随访患儿中 ,无一例发生术后并发症。其中 16例 ( 84 2 %)患儿发音基本正常或明显改善 ,3例 ( 15 8%)发音无改善。结论 反向双“Z”成形术是目前最理想的功能性腭裂修复方法 ,具有广阔的应用前景。
Objective To investigate the value of reverse double “Z” plasty in the repair of cleft palate. Methods Reverse double “Z” angioplasty was used to restore the ectopic palatal and saphenous muscle of the cleft palate to the normal anatomical position and extend the soft palate to a certain degree. Results 19 cases of children were followed up, no case of postoperative complications occurred. In 16 cases (84 2%), the patients had normal or significant improvement in their pronunciation, and no improvement in 3 cases (15.8%). Conclusion Reverse double “Z” angioplasty is the most ideal functional cleft palate repair method, which has broad application prospects.