腭裂手术年龄对代偿性发音发生率的影响

Effect of palatoplasty timing on incidence of compensatory articulation

目的通过回顾性调查,探讨在不同年龄修复腭裂对代偿性发音发生率影响的规律。方法将102例年龄在10岁以上、腭裂术后2年以上的单侧完全性唇腭裂患者,根据接受腭裂手术的年龄分为三组,A组:0～3.00岁(n=37)、B组:3.01～6.00岁(n=36)和C组:6.01岁以上(n=29)。随访时进行语音判听,判定其是否存在代偿性发音。并对不同手术年龄组间的代偿性发音发生率进行统计学检验。结果三组代偿性发音的发生率分别为27.0%、47.2%、和65.5%,统计学检验显示,代偿性发音发生率在3组间的差异有显著性(P<0.05)。结论在不同年龄进行腭裂修复术,其术后代偿性发音的发生率不同。手术年龄越小,代偿性发音的发生率越小。

Objective To investigate the effect of different palatoplasty timing on incidence of compensatory articulation by a retrospective study. Methods A total of 102 UCLP consecutive cases over 10 years of age were followed up,which were divided into three groups according to the age of operation,group A： 0 -3. 00 years old（n =37） ,group B： 3. 01 - 6. 00 years old （ n = 36 ）, group C ： over 6. 01 years old （ n = 29 ）. Speech was evaluated and the incidence of compensatory articulation recorded. Results Incidence of compensatory articulation in the three groups were 27.0% , 47. 2% ,and 65.5% respectively, and significantly different among the three groups （ P 〈 0.05 ） . Conclusion The incidence of compensatory articulation was different in patients who accepted palatoplasty at different ages. The incidence increased with increase of operation age.