《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 160-161.

• 临床研究 • 上一篇    下一篇

小儿舌系带过短手术的理想时期(附517例分析)

黄春雷1; 吴惠群2; 高帆2   

  1. 1.首都儿科研究所附属儿童医院耳鼻喉科 北京市 100020;2.北京博爱医院 北京市 200068
  • 收稿日期:2005-05-17 出版日期:2006-02-25 发布日期:2006-02-25

Ideal Surgical Period of Children with Tongue-tie: Analysis of 517 Cases

HUANG Chun-lei, WU Hui-qun, GAO Fan   

  1. The Department of Otolaryngology, Affiliated Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
  • Received:2005-05-17 Published:2006-02-25 Online:2006-02-25

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摘要： 目的探讨舌系带过短小儿手术治疗的理想时期。方法回顾性分析局麻下进行单纯剪开术或水平—垂直成形术治疗的517例舌系带过短小儿的手术效果及1年后的发音改善程度。结果各年龄组总计男女比例约10∶4,术后出血2例;<1岁的患儿复查时合作较好,>1岁的患儿合作较差;术后1年随访,<1岁的患儿未出现舌原性发音障碍,>1岁的患儿发音障碍改善分别为较好、中等及不明显。结论小儿舌系带过短手术治疗的理想时期为出生后6～12个月。

关键词: 舌系带过短, 小儿, 手术, 心理学, 母乳喂养

Abstract: ObjectiveTo investigate the ideal surgical period of children with tongue-tie.MethodsThe data of 517 children with tongue-tie treated by simply clipped surgery or horizontal-to-vertical plasty were analyzed retrospectively to evaluate the effect of operation and the level of phonologic prognosis.ResultsThe sex ratio was approximately 10∶4 (male∶female) in all groups. Two cases occurred postoperative hemorrhage. The follow-up compliance was better in children <1 year old, but higher levels of noncompliance occurred in children >1 years old. One year after surgical treatment, there were no phonologic disorders caused by tongue motion in children <1 year old, but the levels of phonologic prognosis in children >1 years old were better, moderate, and insignificant respectively.ConclusionThe ideal surgical period of children with tongue-tie is age of 6～12 months.

Key words: tongue-tie, childhood, surgery, psychology, breastfeeding