CAJ | 학술논문

目的：探讨兰氏法联合Sommerlad腭帆提肌重建术功能性修复腭裂的临床应用。方法回顾208例腭裂患者的修复手术，根据腭裂患儿的个体差异对兰氏法进行灵活应用，并总结分析其临床效果。结果208例腭裂患儿修复效果满意，无一例术后减张切口出血，仅有2例术后出现腭瘘。术后1年回访语音功能均恢复良好。结论腭裂手术过程中手术方法的灵活应用对减少瘢痕、较小出血、防止腭瘘或裂开等手术并发症和提高手术成功率起到了良好的作用。
목적：탐토란씨법연합Sommerlad악범제기중건술공능성수복악렬적림상응용。방법회고208례악렬환자적수복수술，근거악렬환인적개체차이대란씨법진행령활응용，병총결분석기림상효과。결과208례악렬환인수복효과만의，무일례술후감장절구출혈，부유2례술후출현악루。술후1년회방어음공능균회복량호。결론악렬수술과정중수술방법적령활응용대감소반흔、교소출혈、방지악루혹렬개등수술병발증화제고수술성공솔기도료량호적작용。
Objective To observe the clinical application of Lan's method combine Sommerlad palatine sail levator revascularization clinical applications of functional repair of cleft palate . Methods Review of 208 cases of patients with cleft palate repair surgery, according to the individual differences of children with cleft palate to lang method for flexible application, and summarizes parser clinical effect. Results 208 cases of children with cleft palate repair effect is satisfactory, and no postoperative incision bleeding, reduction of palatal fistula was recorded only 2 cases. After 1 year return voice function recovered well. Conclusion Cleft palate surgery surgical method in the process of flexible application to reduce scarring, less bleeding, prevent the palatal fistula or cracks and improve the success rate of operation complications, and played a good role.