国际口腔医学杂志

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (4): 485-481.doi: 10.7518/gjkq.2018.04.020

• 综述 • 上一篇    下一篇

婴幼儿舌系带过短的临床诊疗新进展

黄椿棚1, 刘显1, 包崇云1, 2   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院口腔颌面外科 成都 610041;
    2.凉山彝族自治州第二人民医院 西昌 615000
  • 收稿日期:2017-09-21 修回日期:2018-03-06 出版日期:2018-07-02 发布日期:2018-07-02
  • 通讯作者: 包崇云,教授,博士,Email：cybao9933@scu.edu.cn
  • 作者简介:黄椿棚,硕士,Email：fxqlhcp@foxmail.com
  • 基金资助:
    科技部惠民计划（2012GS510102）; 国家自然科学基金（31400829）

Clinical progress of the ankyloglossia

Huang Chunpeng1, Liu Xian1, Bao Chongyun1, 2   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;;
    2. The Secnod People’s Hospital of Liangshan Yi Autonomous Prefecture, Xichang 615000, China);
  • Received:2017-09-21 Revised:2018-03-06 Online:2018-07-02 Published:2018-07-02
  • Supported by:
    ; This study was supported by Benefiting Project of Science and Technology Ministry (2012GS510102) and National Natural Science Foundation of China (31400829).

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摘要： 舌系带过短是一种常见的先天性口腔畸形,目前国内临床常以婴幼儿舌系带形态或语音异常作为舌系带矫正手术的标准,但国内外有关文献表明,舌系带过短与语音异常没有直接联系,因此以舌系带形态或语音异常作为手术标准,存在过度手术的风险。母乳对婴幼儿健康发育具有重要作用,近年来随着母乳喂养的提倡,舌系带过短引发哺乳中的乳头疼痛、创伤乃至影响婴儿生长发育等情况逐渐得到重视。本文回顾了舌系带过短与哺乳困难的关系以及致病机制、诊断、治疗等方面的研究,提出舌系带形态与母乳喂养之间的联系,进而总结出舌系带过短的手术指征,有望为临床工作提供新的指导标准。

关键词: 舌系带过短, 母乳喂养, 舌系带矫治术

Abstract: Ankyloglossia is a common congenital oral disformity. The abnormal of lingual frenulum or speech act as the indication of frenotomy in clinical treatment mostly, but literatures show ankyloglossia isn’t directly related to speech. So, the risk of excessive operation exists if the abnormal of lingual frenulum or speech were applied as the indication of frenotomy. Breastfeeding plays an important role in infant growth, in recent years, ankyloglossia with nipple pain, trauma and even affected growth of infant get more attention with the advocating of breastfeeding. We retrospect researches about the relationship between ankyloglossia and breastfeeding difficulties, pathogenesis, diagnosis and treatment in this review, emphasizing the relationship between the tongue tie and breastfeeding and then sum up the surgical indications of ankyloglossia, it is expected to provide a new guidance standard for clinical work.

Key words: ankyloglossia, breastfeeding, frenotomy

中图分类号: 

  • R782
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