目的：研究完全性腭裂患者不同年龄段腭裂腭形态学定量测量统计分析，为完全性腭裂取得最佳的近期和远期效果而选择最佳的手术方案提供参考依据，并且对完全性腭裂上腭在各个年龄阶段的发育趋势进行初步探讨。方法对82例完全性腭裂患者根据手术时年龄段分成7个组，分别于手术前测量腭健侧和裂侧的直线长度、曲线长度、硬腭长、软腭长、上颌结节至裂隙距离、软腭最宽度、两侧上颌结节距离和上颌结节间裂隙宽度等指标，统计分析。结果≤12月组的上腭曲线长度健侧与裂侧的长度比较具有统计学意义，健侧长于裂侧。而在10～15周岁时，硬腭长度、上颌结节至裂隙缘长度在健侧与裂侧的比较均有统计学意义。不同年龄组的上颌结节间距与上颌结节间裂隙的宽度存在线性关系。结论不同年龄段完全性腭裂患者，上腭健侧和裂侧组织发育不一致。为完全性腭裂手术术式以及序列治疗方案，提供重要的参考依据。%Objective To investigate the quantitative statistical analysis of morphological of complete cleft palate in different age patients. To provide reliable reference of the best operation projects for complete cleft palate to get the best the short-term and long-term effect. Methods 82 patients with complete cleft palate were divided into 7 groups prospectively which were≤12 months,>12 months and≤24 months,>24 months and≤36 months,>36 months and≤72 months,>72 months and≤120 months(10 years),>120 months and≤180 months(15 years),>180 months(15 years). The data were measured and statistical analysed while the patient was under general anesthesia before the palatoplasty. The data were including of a straight-line and a curved distance of Palatal lengthening, the length of hard and soft palate, the distance between maxillary tuberosity and the edge of cleft, the distance between both maxillary tuberosity, the most width of one side soft palate tissue, the width of both edges of cleft on the level of maxillary tuberosity. Results It demonstrated a moderate difference in the curved distance of Palatal lengthening between the cleft side and normal side in the group of≤12 months(P=0.014). The length of normal side is longer than the cleft side. the length of hard palate, the distance between maxillary tuberosity and the edge of cleft were moderate different between the cleft side and normal side in the group of<120 months and≥180 months (0.01展开▼
