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目的探讨腭帆提肌重建联合咽后壁瓣术在先天性腭裂中的临床应用。方法采用腭帆提肌重建联合咽后壁瓣术,共修补47例先天性腭裂患者,其中单侧完全性腭裂21例,不完全性腭裂26例。结果所有患者均一期愈合,未出现腭瘘,随诊1～3年,语音清晰度满意。结论腭帆提肌重建联合咽后壁瓣术较好地恢复了腭帆提肌正常的解剖结构和位置,获得了良好的腭咽闭合,并有效地降低了术后腭瘘的发生率,是一种值得推荐的功能性腭裂修复方法。
Objective To investigate the clinical application of palatal-saphenous reconstruction and pharyngeal wall flap in congenital cleft palate. Methods Totally 47 cases of congenital cleft palate were repaired with palatal-saphenous reconstruction and pharyngeal wall flap. Among them, 21 cases were unilateral complete cleft palate and 26 cases were incomplete cleft palate. Results All patients were healed one time without palatal fistula. The patients were followed up for 1-3 years and their speech intelligibility was satisfactory. Conclusions The palatal-saphenous reconstruction combined with posterior pharyngeal wall flap restored the normal anatomy and location of the levator palate and obtained good velopharyngeal closure and effectively reduced the incidence of postoperative palatal fistula. A recommendable functional cleft palate repair method.