CAJ | 학술논문

目的研制环扎子用于腭咽环扎术,改进腭咽环扎术中不同年龄组患者腭咽部环扎时咽腔缩窄程度难以量化的问题.方法将3～17岁的腭裂患者,按年龄大小(3～17岁)分为5组,根据各年龄组患者正常咽腔大小制作5种不同型号的环扎子用于术中,使腭咽部环扎之松紧度得到量化.结果应用环扎子及未应用环扎子行后推腭咽环扎术131例腭裂患者,全部创口Ⅰ期愈合,没有发生感染及复裂等并发症.应用环扎子于后推腭咽环扣外科活结环扎术89例中,有1例因误选了小一型号的环扎子,造成环扎过紧,麻醉复苏时拔管后呼吸窘迫立即拆除环扎线后呼吸正常,其余88例麻醉复苏时拔管顺利.全部病例术后语音显著改善或完全恢复正常.结论环扎子在腭咽环扎术中应用,对不同年龄组患者的咽腔缩窄程度进行量化,其使用方法简便,易于临床推广应用.
목적 연제배찰자용우악인배찰술,개진악인배찰술중불동년령조환자악인부배찰시인강축착정도난이양화적문제.방법 장3～17세적악렬환자,안년령대소(3～17세)분위5조,근거각년령조환자정상인강대소제작5충불동형호적배찰자용우술중,사악인부배찰지송긴도득도양화.결과 응용배찰자급미응용배찰자행후추악인배찰술131례악렬환자,전부창구Ⅰ기유합,몰유발생감염급복렬등병발증.응용배찰자우후추악인배구외과활결배찰술89례중,유1례인오선료소일형호적배찰자,조성배찰과긴,마취복소시발관후호흡군박립즉탁제배찰선후호흡정상,기여88례마취복소시발관순리.전부병례술후어음현저개선혹완전회복정상.결론 배찰자재악인배찰술중응용,대불동년령조환자적인강축착정도진행양화,기사용방법간편,역우림상추엄응용.
Objective To study how to improve velopharyngeal ring ligafion procedure by using ring ligator in velopharyngeal ring ligatian procedure and settle the problem that there is no standard to measure the interspace of the cavity of pharynx.Methods Select some deft palate patients who were between 3 to 17 ages.Then made five groups according to age (3 to 5,6 to 8,9 to 11,12 to 14,15 to 17).Then made five different types of ring ligators accrding to the normal size of the cavity of pharynx of different ages.Results The ring ligators were easily used and all the patients were repaired satisfied.Conclusion The application of ring ligator in velopharyngeal ring ligation procedure is simple and feasible.