腭形成术与术后语音效果的研究

A study on the articulation results after early and delayed veloplasty

目的 探讨不同手术时机对腭裂修复术后语音效果的影响。方法 对 48例早期腭形成术 (手术时平均年龄为 3.2个月 )及 33例延迟腭形成术 (手术时平均年龄为 15 .0个月 )的 2组术后患儿进行包括语音音色、音素、过高鼻音与过低鼻音的评估 ,观察其不良的语音习惯 ,从而作出语音效果评估。结果 2组手术后病儿的语音评估结果有显著性差异 (P <0 .0 5 ) ,即早期接受腭修复手术者 ,语音发育效果好。结论 腭形成术实施时间早 ,则可尽早为良好的语音发育创造正常的解剖生理条件 ,因而语音发育效果好。

Objective To explore the relationship between the time of the initial soft palate repair and the articulation development.Methods The articulation of the group of'early veloplasty'and of the group of 'delayed veloplasty'was judged by the two experienced speech therapists.Results There was significant difference between the time of veloplasty and articulation (P< 0.05 ).The children with cleft palate had better articulation when they were operated at an early age.Conclusion The repair of the soft palate at an early age gives better articulation.