先天性腭咽闭合功能不全的语音清晰度评价  

The Chinese Intelligence Test of the Congenital Velopharyngeal Insufficiency

作　　者：吴忆来[1] 王国民[1] 蒋莉萍[1] 陈阳[1] 张勇[1] 

机构地区：[1]上海第二医科大学附属第九人民医院口腔颌面外科,上海200011

出　　处：《口腔颌面外科杂志》2004年第4期329-331,共3页Journal of Oral and Maxillofacial Surgery

基　　金：卫生部(98-1-317)(A类)上海市教委(S990203)(2000SG41)课题资助

摘　　要：目的:本研究通过检测51例先天性腭咽闭合功能不全(CVPI)患者的语音清晰度,评定其异常语音的严重 程度,为其诊断提供重要的信息,也为其治疗计划的制定和估计预后提供了重要的依据。方法:由三名经验丰富 的语音病理师,按汉语语音清晰度测试字表对51例CVPI患者行语音清晰度的审听,并对其语音的严重程度进行 分类,将其结果同56例腭裂术后VPI患者,15例腭裂患者及30例正常者进行对照比较。结果:用汉语语音清晰 度测试字表,51例CVPI患者的语音清晰度均值为31.3％,其中43.1％为中度语音障碍,52.90k,为重度。结论:通 过上述研究方法可知CVPI虽没有明显的腭咽腔解剖异常,但其语音障碍程度主要集中在中度到重度,对改善其语 音所需的时间显然长,困难大。Objective: Examine the Chinese intelligence in 51 CVPI patients, and study the severity degree of speech disorder, which can offer the referenced basis for diagnosis and treatment. Methods: 51 patients with congenital velopharyn-geal insufficiency were available for this study. All receive Chinese speech intelligibility test by three experienced speech pathologist and were classified according to the results. Meanwhile, test results were compared with those of 30 normal subjects, 15 patients with cleft palate and 56 velopharyngeal insufficiency after the palatoplasty. Results: The average of Chinese intelligence was 31. 3%. 22/51 patients (43. 1% ) were moderate speech disorder, 27/51 patients (52. 9% ) were severe speech disorder. Conclusion: Although the configuration of palate was not obviously abnormal, but the Chinese speech intelligibility degree was very poor, which suggested the treatment of the congenital velopharyngeal was more difficult than others.

关 键 词：先天性腭咽闭合功能不全 过度鼻音 腭心面综合征 腭裂 

分 类 号：R767[医药卫生—耳鼻咽喉科]