咽后壁组织瓣转移术治疗先天性腭咽闭合功能不全的初步研究
Primary Study of Pharyngeal Flap Surgery in Congenital Velopharyngeal Insufficiency
作者：吴忆来;王国民;杨育生;陈阳;蒋丽萍
Author：WU Yi-lai,WANG Guo-min, YANG Yu-sheng,CHENYang,JIANGLi-ping
收稿日期：2005-12-25 年卷（期）页码：2005,23(06):492-
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：先天性腭咽闭合功能不全,过度鼻音,腭心面综合征,咽成形术,
Key words：congenital velopharyngeal insufficiency,hypernasality,velo-cardiofacial syndrome,paryngoplasty,
基金项目：卫生部基金资助项目(98-1-317) (A类);上海市教委基金
资助项目(S990203,2000SG41)
中文摘要
目的 初步研究咽后壁组织瓣转移手术治疗先天性腭咽闭合功能不全(CVPI)的疗效。方法 选择29例
CVPI患者施行蒂在上的咽后壁组织瓣转移术,手术前后由专业的语音病理师审听语音清晰度,同时行吹水泡试验,
比较手术前后语音清晰度、异常语音和吹水泡试验的变化,并与20例正常语音者进行比较。结果 29例CVPI患
者的语音清晰度均值从术前的33·86%改善到术后的43·19%,吹水泡试验从术前的4·60 s提高至术后的17·72 s,
经配对t检验,二者均有统计学差异(P
英文摘要
Objective To study effective operation method of congenital velopharyngeal insufficiency by reviewing clinical data of 29 patients with pharyngoplasties.Methods 29 patients (9 male and 20 female, ranged from 4 to 25 years old, mean age was 13·5) with congenital velopharyngeal insufficiency were available for this study. All cases received Chinese speech intelligibility test and blowing test before and after the pharyngeal flap surgery.Results Chinese speech intelligibility of 29 cases who under- went pharyngoplasties was improved from 33·86% to 43·13%, and the blowing time was increased from 4·60 to 17·72 seconds, the degree of abnormal speech was reduced.Conclusion The pharyngeal flap surgery is an effective method for congenital velo- pharyngeal insufficiency, which reduces hypernasality and increases oral pressure, improves the velopharyngeal function.
【关闭】
