大龄腭裂患者的手术治疗方法与语音治疗效果的对比研究

Contrast study the effects of surgical approaches on repairing cleft palate

目的对单纯行裂隙关闭术和同期行咽后壁咽成形术的大龄腭裂患者,术前、术后发音效果进行检测分析和对比研究,评定手术的治疗效果。方法对24例同期行腭裂关闭术及咽后壁组织瓣咽成形术治疗和12例单纯行裂隙关闭术的大龄腭裂患者,术前、术后用鼻咽纤维镜检测其腭咽闭合情况,应用通用音频谱分析系统,对本组术后患者腭裂语音进行声学分析。结果所有腭裂修复术后,创口均达到临床Ⅰ期愈合,语音也有不同程度改善。大龄腭裂患者采用腭裂关闭及同期咽成形术的修复组,术后发音明显优于单纯行裂隙关闭组。结论大龄腭裂患者,采用腭裂关闭及同期咽成形术,是提高腭咽闭合和改善发音较好的手术方法。

Objective To contrast study the results of both palatorrhaphy only and simultaneous palatorrhaphy and posterior pharyngeal flap transplantaion in unoperated cleft patients over eight years, Methods Twenty- four cleft palate patients over eight years were repaired by palatorrhaphy and posterior pharyngeal flap transplantation, and twelve were only repaired by palatorrhaphy only, We evaluated the postoperative effects of the operation by analysing the acoustic features and the velopharyngeal function of all the patients. Results All the operation were successful, and the wound healed well, The pronunciation of all the patients after operation impoved much than before. By comparing two groups, palatorrhaphy and posterior pharyngeal flap transplantation for repairing complete cleft palate is better than the palatorrhaphy only. Conclusion Comparing with palatorrhaphy only, the palatorrhaphy and posterior pharyngeal flap transplantation for repairing complete cleft palate patients over eight years is good method for improving velopharyngeal function and pronunciation.