用电子动态喉镜观察腭裂术后患者腭咽闭合功能的研究

A study with ENF on the velopharyngeal function of patients after palatorrhaphy

目的 :用电子动态喉镜观察腭裂术后患者的腭咽闭合功能。方法 :选择腭裂修补术后 16年的患者 5 4名 ,用电子动态喉镜观察患者在吞咽和发音时的咽侧壁、咽后壁、软腭的运动情况。结果 :电子动态喉镜系统能直接观察到发音时咽侧壁的向中性运动及软腭的上下前后运动、软腭与咽后壁的关系、软腭长度及在矢状面上提升的高度。结论 :采用电子动态喉镜可以全面观察腭咽部的整体运动 ,指导选择手术方法 ,评价手术效果。

Objective:To research on the velopharyngeal function of patients after Palatorrhaphy.Mehod: 54 patients after Palatorrhaphy for an averagely of 16 years were selected as research group.16 had received posterior pharyngeal wall operation,22 had received langerbacks operation,and the other 16 patients had received velopharyngeal ring ligation.ENF was used to observe the movement of posterior and lateral pharyngeal wall and the soft palate of cleft palate patients during their phonation or swallowing.Result:The ENT system can directly observe the media movement of lateral pharyngeal wall,the up down and forward back ward movement of soft palate,the relation of soft palate and posterior pharyngeal wall,the length of soft palate and its lifting height on the sagital plane during phonation period.Conclusion:ENF can observe the whole movement of velopharyngeal position in a full scale.It can be used to evaluate the effect of an operation,to help make the choice of operation method and to provide useful information for the second period operation.