摘要：

目的：采用Sommerlad-Furlow法对不完全性腭裂的患者进行手术，并对其术前、术后软腭长度变化进行研究及探讨。方法：共纳入41例不完全性腭裂患儿，均采用Sommerlad-Furlow法进行手术，统计术前软腭长度、术后软腭长度，并对不同性别、年龄组间进行差异比较，采用SPSS 21.0软件进行统计学分析。结果：总体术前软腭长度为（10.195±1.600） mm，术后软腭长度为（20.341±1.726） mm，平均延长长度为（10.146±1.085） mm，手术前后软腭长度的变化差异具有统计学意义（P<0.001）；不同性别、年龄组间软腭延长长度的差异无统计学意义（P>0.05）。结论：Sommerlad-Furlow法可有效延长软腭长度，并且在不同性别、年龄组间，软腭的延长长度差异无统计学意义，其为提高腭咽闭合率提供了良好的基础，但该方法的远期效果及术后语音功能的恢复需要进一步的研究。

关键词: 不完全性腭裂, Sommerlad-Furlow法, 软腭长度

Abstract:

Objective: Using Sommerlad-Furlow palatoplasty for surgical treatment of patients with incomplete cleft palate, and studying the changes of soft palate length before and after palatoplasty. Methods: A total of 41 patients with incomplete cleft palate were enrolled. The patients were treated with Sommerlad-Furlow palatoplasty. The length of soft palate before and after operation was recorded, and the differences between genders and ages were compared. SPSS 21.0 software was used for statistical analysis. Results: The overall length of soft palate before operation was(10.195±1.600) mm, and the length of soft palate after operation was (20.341±1.726) mm, with an average extension of (10.146±1.085) mm. The changes of soft palate length before and after palatoplasty demonstrated significant difference(P<0.001). There was no significant difference between genders and ages (P>0.05). Conclusion: Sommerlad-Furlow palatoplasty could effectively extend the length of soft palate with no statistical difference between different gender and age groups, which laying a good foundation for improving the velopharyngeal closure rate, but the long-term effects and postoperative pronunciation recovery of this method need further studies.

Key words: incomplete cleft palate, Sommerlad-Furlow palatoplasty, soft palate length