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材料与方法 一、临床资料 健康人10例,男4例,女6例,年龄4～12岁;腭裂患者27例,其中行咽后壁舌形瓣手术15例,男10例,女5例,年龄5～12岁,行咽后壁双弧形瓣加咽腭肌瓣手术12例,男7例、女5例,年龄5～12岁。 二、手术方法 在腭裂修复术(改良兰氏法)同时,行咽成形术。采用的方法有二: 1.舌形瓣法:在咽后壁切取蒂位于上方的舌形粘膜肌组织瓣,从椎前筋膜上剥起,拉拢缝合供瓣创面,再将舌形瓣移植于已被剖开的软腭鼻侧粘膜创缘上,最后将裂隙创缘分层对位缝合。
Materials and Methods First, the clinical data of 10 healthy people, 4 males and 6 females, aged 4 to 12 years; cleft palate patients 27 cases, including pharyngeal wall flap valve surgery in 15 cases, 10 males and 5 females , Aged 5 to 12 years old, double arc-shaped posterior pharyngeal flap plus pharyngeal palate flap surgery in 12 cases, 7 males and 5 females, aged 5 to 12 years. Second, surgical methods In the repair of cleft palate (modified Lan's method) at the same time, pharyngeal angioplasty. There are two methods used: 1. Tongue flap method: cut in the pharyngeal wall at the top of the tongue-shaped mucosa tissue flap, stripped from the anterior fascia, suture the wound for the wound, then the tongue-shaped flap transplantation In the soft palate nasal mucosa has been cut open edge of the wound, and finally the fissure wound stratification on the suture.