大年龄腭裂患者术后腭咽闭合功能的研究──纤维鼻咽内窥镜及微电脑图像分析

Evaluation of velopharyngeal function after later surgical repair of cleft palate

作者对６０例大年龄腭裂病人进行了术后随访，其中３０例曾应用Ｆｕｒｌｏｗ氏反向双Ｚ瓣修复术；３０例用传统手术方法修复，结果表明，大年龄腭裂病人的腭咽闭合类型以环状、半环状为主，其手术成功率仅为４６．５％，低于各种报道，作者认为，腭裂病人因咽侧壁及咽后壁的代偿作用使腭咽闭合类型发生变化，这种代随年龄增长而增强，即使改变手术方法提供了改善语言可能的条件，大年龄手术腭裂病人仍难以提高语言效果。

Abstract:This study detected 60 cases of patients of later surgical cleft palate repairing with different operative procedures, based on nasopharyngeal fiberscope and image processing detective system of nasopharyngeal function. They were divided into two groups, 30cases with Furlow' s double reversing Z plasty, and others with traditional palatoplasty.The results were as follows: the type of velopharyngeal closure with later palatoplasty mainly were circus, semi-circus, and the rate of operative success only was 46. 6%,which was lower than other reports. Author described that compensation of lateral and posterior pharyngeal wall made the type of velopharyngeal closure. The elder the age,the more the compensation is. For the latercleft palpte repair,although the variable surgical procedure made a condition for speech improvement, patients with later cleft palate repair still can' t improve their phonation.