本文選題：黏膜下腭裂 + 腭咽閉合模式��； 參考：《華西口腔醫(yī)學(xué)雜志》2017年03期

【摘要】：目的通過(guò)分析黏膜下腭裂患者腭咽閉合模式、腭咽口各部分的收縮運(yùn)動(dòng)狀況和語(yǔ)音表現(xiàn),進(jìn)一步探究黏膜下腭裂的病理特征規(guī)律。方法回顧2008—2016年于四川大學(xué)華西口腔醫(yī)院唇腭裂外科就診的黏膜下腭裂患者的病歷資料,分析其術(shù)前腭咽功能、輔音構(gòu)音表現(xiàn),采用鼻咽內(nèi)鏡觀察腭咽閉合模式以及軟腭、咽側(cè)壁和咽后壁的運(yùn)動(dòng)情況。結(jié)果共納入353例黏膜下腭裂患者,其中術(shù)前腭咽閉合完全(VPC)者138例(39.09%),腭咽閉合不全(VPI)者176例(49.86%),邊緣性腭咽閉合不全(MVPI)者39例(11.05%);268例患者接受了鼻咽內(nèi)鏡檢查,167例(62.31%)為環(huán)狀閉合,89例(33.21%)為冠狀閉合,12例(4.48%)為矢狀閉合;派氏嵴參與了45.51%(76/167)的環(huán)狀閉合和13.48%(12/89)的冠狀閉合。353例患者中137例(38.81%)構(gòu)音正常,124例(35.13%)表現(xiàn)為輔音省略,51例(14.45%)有代償性構(gòu)音,36例(10.20%)有輔音弱化,25例(7.08%)有輔音替代,36例(10.20%)有2種以上的構(gòu)音錯(cuò)誤。結(jié)論環(huán)狀閉合是黏膜下腭裂患者最主要的腭咽閉合模式,壓力輔音省略是最常見(jiàn)的構(gòu)音障礙。隨著腭咽閉合程度的降低,發(fā)生2種以上構(gòu)音錯(cuò)誤的患者明顯增加。
[Abstract]:Objective to investigate the pathological characteristics of lower palate cleft mucosa by analyzing the palatopharynx closure pattern, the contractile movement and phonological manifestations of each part of the palate mouth in patients with lower mucosal cleft palate. Methods the medical records of patients with cleft lip and palate from 2008 to 2016 in Huaxi Oral Hospital of Sichuan University were reviewed. The preoperative palatopharynx function and consonant structure were analyzed. The velopharyngeal closure pattern and soft palate were observed by nasopharynx endoscopy. Movement of the lateral and posterior pharyngeal walls. Results 353 patients with submucosal cleft palate were included. Among them, 138 cases (39.09%) had complete velopharyngeal closure (VPC), 176 cases (49.86%) had velopharyngeal insufficiency (VPI), 39 cases (11.05%) had marginal velopharyngeal insufficiency (MVPI), and 167 cases (62.31%) underwent endoscopic nasopharynx examination, 89 cases (33.21%) were coronal closure and 12 cases (4.48%) had coronal closure. In 137 patients (38.81%) with normal conformation, 124 patients (35.13%) showed consonant ellipsis in 51 cases (14.45%), 36 cases (10.20%) with compensatory consonants, and 25 cases (7.08%) with consonant weakening in 36 cases (10.20%) with compensatory consonant structure in 45.51% (76 / 167) and with coronal closure of 13.48% (12 / 89) in 124 cases (35.13%). More than 2 types of sound errors. Conclusion annular closure is the most important palatopharynx closure pattern in patients with submucosal cleft palate, and pressure consonant ellipsis is the most common dysarthria. With the decrease of palatopharynx closure, the number of patients with more than 2 malformation was significantly increased.
【作者單位】： 口腔疾病研究國(guó)家重點(diǎn)實(shí)驗(yàn)室國(guó)家口腔疾病臨床研究中心四川大學(xué)華西口腔醫(yī)院唇腭裂外科;
【基金】：國(guó)家自然科學(xué)基金(81500829)~~
【分類號(hào)】：R782.22

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