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传统的腭裂修复法,为了达到减张效果,常将腭腱膜和鼻底粘膜剪断。腭腱膜被剪断时,软腭的肌肉附着即发生改变,从而影响腭部的功能,特别是语言功能,鼻底粘膜被剪断后,软腭的鼻侧即有一个菱形创面;该创面Ⅱ期愈合以后形成的瘢痕常使软腭变硬、缩短,也严重影响腭部的语言功能。为了进一步完善腭裂修复手术方法,我们自1982年始,以改良朗氏法为基础,对46例先天性腭裂患者的手术方法进行了改进,并与另一组改良朗氏法修复先天性腭裂51例作了手术和语言效果的对比。
Traditional cleft palate repair method, in order to achieve the effect of reducing tension, often the palatal aponeurosis and nasal mucosa cut. Palate aponeurosis is cut, the soft palate muscle attachment that is changed, thus affecting the function of the palate, especially the language function, nasal mucosa is cut off, the soft palate nasal side that is, there is a diamond-shaped wound; the wound healing after Ⅱ The formation of scars often make the soft palate harden, shorten, but also seriously affect the language function of the palate. In order to further improve the cleft palate repair surgery method, we have improved the Longs method since the beginning of 1982, 46 cases of congenital cleft palate patients with surgical methods were improved, and another group of modified Long's method to repair congenital cleft palate in 51 cases Made a comparison of surgery and language effects.