已修复唇腭裂患者颅颌面发育规律初步探讨

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英文篇名：A preliminary study on the craniofacial growth rules in patients with repaired cleft lip and palate 作者：邱赛男 ; 金作林 英文作者：QIU Sainan;JIN Zuolin;Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Department of Pediatric Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University;Department of Orthodontics,School of Stomatology,The Fourth Military Medical University; 关键词：唇腭裂 ; 颅颌面 ; 发育 ; 头影测量 英文关键词：Cleft lip and palate;;Craniofacial;;Growth;;Cephalometric 中文刊名：SYKQ 英文刊名：Journal of Practical Stomatology 机构：南京医科大学口腔疾病研究江苏省重点实验室南京医科大学附属口腔医院儿童口腔科;第四军医大学口腔医院正畸科; 出版日期：2019-01-30 出版单位：实用口腔医学杂志 年：2019 期：v.35;No.174 基金：陕西省社会发展攻关计划项目(编号:2012.SF028) 语种：中文; 页：SYKQ201901028 页数：5 CN：01 ISSN：61-1062/R 分类号：119-123

摘要

目的:初步探讨已修复的唇腭裂患者颅颌面发育规律。方法:纳入经过手术修复单侧完全性唇腭裂(UCLP)患者50例、单侧完全性唇裂(UCL)患者28例,分别按颈椎骨龄分期分三组,将同一类型不同发育期患者的头影测量数据分析比较。结果:术后患者面部垂直向高度(N-Me、ANS-Me)和下颌骨大小(Co-Go、Go-Gn、Co-Gn) CS5、CS6期较CS1、CS2期明显增大(P <0. 05),而上颌骨位置及形态不同发育期差异无统计学意义(P> 0. 05)。结论:经手术修复后随着发育,唇腭裂患者的上颌骨大小、位置变化并不明显,而下颌骨明显增大。
        Objective: To investigate the development rules of craniofacial development in patients with cleft lip and palate after surgical repair. Methods: 50 patients with repaired complete unilateral cleft lip and palate( UCLP) and 28 with complete unilateral cleft lip( UCL) were included. The subjects were divided into 3 groups according to their cervical vertebral maturation. Lateral cephalograms of all subjects were obtained. The data were analyzed and compared by PRISM 6. 0. Results: The values of face height( N-Me and ANSMe),mandibular size( Co-Go,Go-Gn,Co-Gn) of the patients in CS5 CS6 stage were bigger than those of the patients with the same type of cleft in CS1 and CS2 stage( P < 0. 05). The values of maxilla length and location showed no statistical difference between the development periods of the same type of cleft( P > 0. 05). Conclusion: After surgical reair,with development,the maxilla of the UCLP/UCL patients may not change significantly. The mandible may grow significantly.

引文

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