一种以治疗方式为导向的腭裂相关语音障碍的分型系统:基于347例患者的回顾研究  

Treatment guided classification system for cleft palate related speech disorders:A retrospective study on 347 patients

作　　者：韩源 汪彬昺[2] 李盛 朱孟贤 白云 郑曦 杜一飞[2] 袁华[2] 万林忠[2] 江宏兵[2] 施星辉[2] 姜成惠[2] HAN Yuan;WANG Binbing;LI Sheng;ZHU Mengxian;BAI Yun;ZHENG Xi;DU Yifei;YUAN Hua;WAN Linzhong;JIANG Hong-bing;SHI Xinghui;JIANG Chenghui(Department of Stomatology,Nanjing Integrated Traditional Chinese and West Medicine Hospital afiliated to Narjing Traditional Medical University,Nanjing 210014,China)

机构地区：[1]南京中医药大学附属南京市中西医结合医院口腔科,江苏南京210014 [2]南京医科大学附属口腔医院口腔颌面外科,江苏南京210000 [3]遵义医科大学附属口腔医院口腔颌面外科,贵州遵义563000

出　　处：《口腔医学》2022年第4期332-338,共7页Stomatology

基　　金：江苏省科技厅基础研究计划(BK20200666)。

摘　　要：目的提出一种以治疗方式为导向的腭裂相关语音障碍的诊断分型,为临床诊疗提供参考。方法对2016年4月至2020年12月于南京医科大学附属口腔医院语言康复门诊就诊的347例腭裂相关语音障碍患者进行回顾,根据治疗方案的不同,分为尝试治疗、常规治疗、启音治疗、边缘性腭咽闭合不全治疗及早期语言干预治疗等五大基本模式。对每一模式的分布特征、患者的病例资料、手术信息、语音特征、腭咽功能及预后等要素进行回顾分析。结果所有研究对象中,171例(49.3%)属于尝试治疗模式,127例(36.6%)属于常规治疗模式,33例(9.5%)属于启音治疗模式,10例(2.9%)属于边缘性腭咽闭合不全治疗模式,另有6例(1.7%)属于早期语言干预治疗模式。结论以治疗方式为导向的腭裂相关语音障碍的分型,可为此类患者的临床诊治提供清晰的思路和指引,也为精准康复治疗提供参考。Objective To explore a new treatment guided classification for cleft palate related speech disorders,so as to provide reference for clinical diagnosis and treatment.Methods A group of 347 patients with cleft palate related speech disorders,treated in the speech rehabilitation clinic of Affiliated Stomatological Hospital of Nanjing Medical University from April 2016 to December 2020,were divided into five basic modes:diagnostic treatment group,traditional treatment group,alpha group,marginal velopharyngeal competency group and early language intervention group.The distribution of each group was calculated.The personal information,surgery information,articulation features,velopharyngeal function and progosis of each group were analyzed retrospectively.Results Among all the subjects,171 subjects belonged to the diagnostic treatment group,127 subjects belonged to the traditional treatment group,33 subjects belonged to alpha group,10 subjects belonged to marginal hypernasality group,and 6 cases belonged to the early language intervention group.Conclusion The treatment guided classification of cleft palate related speech disorders would not only provide clear guidance for clinical diagnosis and treatment,but may also offer further information for precise rehabilitation treatment.

关 键 词：唇腭裂 语音障碍 腭咽功能 分型研究 

分 类 号：R782.22[医药卫生—口腔医学] H018.4[医药卫生—临床医学]