Xu Huilin, Song Qinggao, Zou Yali, He Wei, Wang Fang
Stomatological Hospital of Zunyi Medical University, Zunyi.
Shengli Oilfield Central Hospital, Dong Ying, China.
J Craniofac Surg. 2019 Jun;30(4):1264-1267. doi: 10.1097/SCS.0000000000005546.
The aim of the present study is to test the feasibility of modified Z-plasty palatoplasty for cleft palate repair in surgeries and provide a new surgical method. Forty cleft palate patients were selected as participants and divided into 2 groups in random. Twenty patients in the experiment group were treated by modified Z-plasty palatoplasty while the other 20 patients in the control group by double opposing Z-plasty and Sommerlad palatoplasty. By evaluating and observing postoperative velopharyngeal movement, speech intelligibility, nasal leaking, analysis of CSL (Computer Structure Language) and X-ray velopharyngeal lateral radiographs, Modified Z-plasty palatoplasty achieved better results than traditional operation. Satisfactory linguistic effects on incomplete cleft palate can be observed after modified Z-plasty palatoplasty treatment. So this method may be used as a clinical choice.
本研究的目的是在手术中测试改良Z形腭成形术修复腭裂的可行性，并提供一种新的手术方法。选择40例腭裂患者作为参与者，并随机分为2组。实验组20例患者采用改良Z形腭成形术治疗，而对照组的另外20例患者采用双反向Z形腭成形术和Sommerlad腭成形术治疗。通过评估和观察术后腭咽运动、语音清晰度、鼻漏、计算机结构语言（CSL）分析和X线腭咽侧位片，改良Z形腭成形术比传统手术取得了更好的效果。改良Z形腭成形术治疗后，可观察到对不完全性腭裂有令人满意的语言效果。因此，该方法可作为一种临床选择。
