摘要
目的:通过对比研究华西改良腭咽肌瓣和Hogan咽后壁瓣2种术式在大龄腭裂患者术后腭咽功能和语音状况的变化,为临床大龄患者最佳术式的选择提供参考。方法:选择2009-01～2011-01行Hogan咽后壁瓣咽成形术(PF组,32例)和华西改良腭咽肌瓣咽成形术(P+SP组,49例)的患者,对其术后的腭咽闭合状况、共鸣、鼻漏气及辅音正确率、鼻呼吸通畅度进行分析对比统计。结果:PF组术后21例(62.50%)腭咽闭合完全;6例(18.75%)术后语音完全清晰。P+SP组术后VPC 30例(61.22%)腭咽闭合完全;13例(25.63%)语音完全清晰。PF组术后20例(62.5%)出现打鼾现象,P+SP组术后32例(65.31%)患者出现打鼾现象。PF和P+SP术式对术后腭咽闭合完全率、高鼻音、鼻漏气、辅音正确率以及呼吸的改变无差别。结论:2种术式都能显著提高患者的腭咽闭合率和语音清晰度。
Objective： To compare the velopharyngeal function and variation of speech between Huaxi modified palatophargneous flap and Hogan posterior flap pharyngoplasty in the treatment of patients with cleft palate. Methods： 32 patients were treated with the Ho- gan posterior flap pharyngoplasty （PF） and 49 with Huaxi modified palatophargneous flap （P ＋ SP） from 2009-01 to 2011-01. The velopharyngeal function, resonance, nasal emission, correct rate of consonant and patency of nasal respiration of all the patients were an- alyzed. Results： After treatment there were 21 patients （62.5%） with velopharyngeal closure （VPC） and 6（ 18.75% ） with normal speech in the PF group,and 30 patients （61.22%） with VPC and 13 （25.63%） with normal speech in the P ＋ SP group. In the PF group, there were 20 patients （62.5%） with snore, and 32 （65.31% ） in P ＋ SP group. There were no statistic differences of velopha- ryngeal function, hypernasality, nasal emission, correct rate of consonant and patency of nasal respiration between the 2 groups. Con- clusion ： Both Huaxi modified palatophargneous flap and Hogan posterior flap pharyngoplasty are effective in the treatment of cleft pal- ate for the improvement of velopharyngeal function and the intelligibility.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2012年第6期731-734,共4页
Journal of Practical Stomatology
