咽扩约肌成形术治疗腭裂临床效果评价

Clinical evaluation of pharyngo sphincteroplasty in treatment of cleft palate

目的 了解咽扩约肌成形术在治疗腭裂中临床效果。方法 腭裂修复时同期咽扩约肌成形 ,并对部分 3年以上患者 36例与同期用咽后壁瓣移植术后患者 30例进行比较 ,分别令其朗读《汉语腭裂字表》同时录音 ,然后 7名听力语音正常的医护人员试听录音并计算正确率。结果 咽扩约肌成形组 :语音正常 2 5例 (6 9.44 % ) ,基本正常 8人 (2 2 .2 2 % ) ,中度发音异常 2例 (5 .5 6 % ) ,明显发音异常 1例 (2 .78% ) ,严重发音异常 0例。咽后壁瓣移植组 :语音正常 15例 (5 0 .0 0 % ) ,基本正常 7例 (2 3.33% ) ,中度发音异常 5例 (16 .6 7% ) ,明显发音异常 2例(6 .6 7% ) ,严重发音异常 1例 (3.33% )。结论 咽扩约肌成形术后能使腭裂患者语音明显改善 ,临床效果优于咽后壁瓣移植术。

Objective To study the clinical effect of pharyngo-sphincteroplasty in treatment of cleft palate.Methods Pharyngo-sphincteroplasty was done at the same stage of repair of cleft palate.36 patiants of more than 3 years postoperation were compared with 30 patiants of postreior pharyngeal flap transplantation by reading the speech intelligibility test.All were evaluated by 7 clinicians of normal speech and hearing.Results In the pharyngo-sphincteroplasty group there were 25 patients of normal speech (69.4%),8 approximately normal (22.2%),2 midding abnormal (5.6%),1 evidently abnomal (2.8%),0 sreiously midding abnormal (16.7%),2 evidently abnormal (6.7%),1 seriously abnormal (3.3)%.Conclusion Pharyngo-sphinctero-plasty can evidently improve speech of the patients with cleft palate,its clinical effect is better than postreior pharyngeal falp transplantation,the benifit and function and operative atention were discussed.