大年龄腭裂患者术后腭咽闭合功能的影响因素

目的研究2岁以上腭裂患者术后腭咽闭合功能的影响因素。方法对245例2岁以上腭裂患儿术后腭咽闭合功能和可能影响术后腭咽闭合功能的因素（腭咽比值、腭裂类型、手术年龄、术式）进行回顾性研究。结果腭咽闭合不全（VPI）组和腭咽闭合完全（VPC）组术前相对裂隙宽度、腭咽比值差异无统计学意义。不同年龄组、不同腭裂类型术后腭咽闭合率未见明显差异。不同的术式术后腭咽闭合率差异有统计学意义。结论大年龄腭裂患者的治疗不宜照搬2岁以下患儿单纯行腭裂整复术的常规治疗方案。裂隙的大小不是影响大年龄腭裂患者术后腭咽闭合功能的主要因素。Sommerlad腭帆提肌重建术＋腭咽肌瓣咽成形术可明显改善大年龄患者术后腭咽闭合功能，...

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Bibliographic Details
Published in华西口腔医学杂志 Vol. 32; no. 1; pp. 54 - 57
Main Author 邱叶 郑谦 石冰 李杨 王 尹恒
Format Journal Article
LanguageChinese
Published 重庆医科大学附属口腔医院大学城门诊部，重庆 401331 2014
口腔疾病与生物医学重庆市重点实验室，重庆 401147
口腔疾病研究国家重点实验室 华西口腔医院唇腭裂外科 四川大学，成都 610041%口腔疾病研究国家重点实验室 华西口腔医院唇腭裂外科 四川大学,成都,610041
Subjects
Sommerlad腭帆提肌重建术
腭咽闭合不全
腭咽闭合功能
Sommerlad腭帆提肌重建术
腭咽闭合功能
腭咽闭合不全
velopharyngeal incompetence
velopharyngeal function
Sommerlad-Levator Veli Palatini reconstructional operation
Online AccessGet full text
ISSN1000-1182
DOI10.7518/hxkq.2014.01.013

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Summary:目的研究2岁以上腭裂患者术后腭咽闭合功能的影响因素。方法对245例2岁以上腭裂患儿术后腭咽闭合功能和可能影响术后腭咽闭合功能的因素（腭咽比值、腭裂类型、手术年龄、术式）进行回顾性研究。结果腭咽闭合不全（VPI）组和腭咽闭合完全（VPC）组术前相对裂隙宽度、腭咽比值差异无统计学意义。不同年龄组、不同腭裂类型术后腭咽闭合率未见明显差异。不同的术式术后腭咽闭合率差异有统计学意义。结论大年龄腭裂患者的治疗不宜照搬2岁以下患儿单纯行腭裂整复术的常规治疗方案。裂隙的大小不是影响大年龄腭裂患者术后腭咽闭合功能的主要因素。Sommerlad腭帆提肌重建术＋腭咽肌瓣咽成形术可明显改善大年龄患者术后腭咽闭合功能，在一期手术时应采用这种腭咽联合手术。
Bibliography:51-1169/R
Sommerlad-Levator Veli Palatini reconstructional operation; velopharyngeal function; velopharyngeal incompetence
Objective To determine the factors affecting post-operative velopharyngeal function of cleft palate patients aged over two years old. Methods The data on 245 patients, including first visit case records and those in the database, were searched and recorded. Post-operative velopharyngeal function and clinical features, such as cleft ratio, adequate ratio, diag- nosis, operative age and method, were analyzed retrospectively. Results Cleft ratio and adequate ratio in the velopharyngeal competence （VPC） group were not statistically different from those in the velopharyngeal incompetence （VPI） group. The difference in VPC rate in different age groups and diagnosis was not significant. The post-operative VPC rates under different methods were significantly different. Conclusion The current therapeutic schedule for patients younger than two years old is inappropriate for patients older than two ye
ISSN:1000-1182
DOI:10.7518/hxkq.2014.01.013