中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2011年
2期
89-91
,共3页
腭裂%心脏病%发病率
腭裂%心髒病%髮病率
악렬%심장병%발병솔
Cleft palate%Heart diseases%Incidence
目的 研究单纯腭裂患儿合并先天性心脏病的特点,探讨腭裂的程度与心脏畸形发生率的关系.方法 收集2008年8月至2009年12月收治的416例单纯腭裂患儿的临床资料,对所有患儿进行心脏超声检查;将患儿分为完全性腭裂和不完全性腭裂组,每组再分为单侧和双侧亚组,不完全腭裂组进一步分为悬雍垂裂、软腭裂、软腭及部分硬腭裂3个亚组,统计各组患儿合并心脏畸形的例数和类型,计数资料用百分构成比表示,采用SPSS 13.0版软件包进行统计学处理,组间比较采用x2检验.结果 416例中共检出46例先天性心脏病,占11.1%;不完全性腭裂组心脏畸形检出率为9.9%(38/384),完全性腭裂组检出率为25%(8/32),明显高于不完全性腭裂组(F=6.852,P<0.05);在合并的心脏畸形中,房间隔缺损占52.2%(24/46),是最常见的心脏畸形.结论 与不完全性腭裂相比,完全性腭裂具有较高的发生心脏畸形的风险,应常规进行心脏超声检查,腭裂程度可作为腭裂合并先天性心脏病的预测因子之一.
目的 研究單純腭裂患兒閤併先天性心髒病的特點,探討腭裂的程度與心髒畸形髮生率的關繫.方法 收集2008年8月至2009年12月收治的416例單純腭裂患兒的臨床資料,對所有患兒進行心髒超聲檢查;將患兒分為完全性腭裂和不完全性腭裂組,每組再分為單側和雙側亞組,不完全腭裂組進一步分為懸雍垂裂、軟腭裂、軟腭及部分硬腭裂3箇亞組,統計各組患兒閤併心髒畸形的例數和類型,計數資料用百分構成比錶示,採用SPSS 13.0版軟件包進行統計學處理,組間比較採用x2檢驗.結果 416例中共檢齣46例先天性心髒病,佔11.1%;不完全性腭裂組心髒畸形檢齣率為9.9%(38/384),完全性腭裂組檢齣率為25%(8/32),明顯高于不完全性腭裂組(F=6.852,P<0.05);在閤併的心髒畸形中,房間隔缺損佔52.2%(24/46),是最常見的心髒畸形.結論 與不完全性腭裂相比,完全性腭裂具有較高的髮生心髒畸形的風險,應常規進行心髒超聲檢查,腭裂程度可作為腭裂閤併先天性心髒病的預測因子之一.
목적 연구단순악렬환인합병선천성심장병적특점,탐토악렬적정도여심장기형발생솔적관계.방법 수집2008년8월지2009년12월수치적416례단순악렬환인적림상자료,대소유환인진행심장초성검사;장환인분위완전성악렬화불완전성악렬조,매조재분위단측화쌍측아조,불완전악렬조진일보분위현옹수렬、연악렬、연악급부분경악렬3개아조,통계각조환인합병심장기형적례수화류형,계수자료용백분구성비표시,채용SPSS 13.0판연건포진행통계학처리,조간비교채용x2검험.결과 416례중공검출46례선천성심장병,점11.1%;불완전성악렬조심장기형검출솔위9.9%(38/384),완전성악렬조검출솔위25%(8/32),명현고우불완전성악렬조(F=6.852,P<0.05);재합병적심장기형중,방간격결손점52.2%(24/46),시최상견적심장기형.결론 여불완전성악렬상비,완전성악렬구유교고적발생심장기형적풍험,응상규진행심장초성검사,악렬정도가작위악렬합병선천성심장병적예측인자지일.
Objective To analyze the relationship between cleft severity and incidence of associated heart defect in children with isolated cleft palate(CP), as well as the characteristics of the heart defect. Methods From Aug 2008 and Dec 2009, a total 416 children with CP underwent echocardiogram, and were divided into complete and incomplete CP groups. Then each group was further classified as unilateral or bilateral groups. Incomplete CP was subdivided into submucous cleft palate, soft palate cleft, hard and soft palate cleft. The associated heart defects were recorded and analyzed in each group. The data were analyzed statistically using SPSS 13.0. Chi-square test was used to compare the incidence between groups. Results In the series of 416 patients, 46 (11.1%) children were found to have an associated congenital heart disease. The incidence of heart defect was 9.9% (38/384) in the incomplete cleft group, and 25% (8/32) in the complete cleft group, showing a significant difference between the two groups (F = 6. 852, P < 0.05). Atrial septal defect was the most common heart defect,which accounted for 52.2% (24/46) of all associated heart malformations. Conclusions Compared to incomplete cleft palate, complete cleft palate has a higher risk of heart defect. Cleft severity may be a predictor for congential heart diseases in cleft palate. Routine echocardiogram should be considered in CP patients.
