腭裂宽度与术后腭咽功能相关性的分析  

Correlation analysis of cleft palate width and postoperative velopharyngeal function

作　　者：王英丽 刘阳 宋绮雯 曹亚莉 郝福良[1] 刘钦赞 WANG Yingli;LIU Yang;SONG Qiwen;CAO Yali;HAO Fuliang;LIU Qinzan(Hebei Provincial Key Laboratory of Stomatology,Hebei Provincial Clinical Research Center for Oral Diseases,Oral and Maxillofacial Surgery,Hebei Medical University School of Stomatology and Stomatology Hospital,Shijiazhuang 050000,China;Department of Stomatology,Shijiazhuang Second Hospital,Shijiazhuang 050000,China;Department of Stomatology,The Third Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Stomatology,Zhengding County People's Hospital,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学口腔医学院·口腔医院口腔颌面外科,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心,河北省石家庄市050000 [2]石家庄第二医院口腔科,河北省石家庄市050000 [3]河北医科大学第三医院口腔科,河北省石家庄市050000 [4]正定县人民医院口腔科,河北省石家庄市050000

出　　处：《组织工程与重建外科》2022年第3期238-241,共4页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的 探究腭裂宽度与腭咽功能差异的相关性。方法 收集2012-2020年44例腭裂患者,均采用Furlow法修复裂隙。根据术前腭裂裂隙宽度的不同,分为较窄组、中等宽度组、较宽组,对各组患者进行腭咽功能检测并对比分析,检测内容包括主观语音判听、鼻咽纤维镜检查。结果 主观语音判听结果显示,3组术后腭咽闭合不全者为20%,而鼻咽纤维镜检测结果显示为18%,两种检测结果无统计学差异(P>0.05);两种检测结果显示,较窄组腭咽闭合不全率显著低于中等宽度组及较宽组(P<0.05),中等宽度组与较宽组腭咽闭合不全率无统计学差异(P>0.05);Pearson相关性分析显示,腭裂宽度与术后语音清晰度评分、鼻咽纤维镜评分均呈正相关(r分别为0.570、0.560,P<0.05),即腭裂裂隙越宽,术后腭咽闭合不全率越高。结论 Furlow法术后腭咽闭合功能具有差异性,与术前裂隙宽度大小显著相关。Objective To explore the correlation analysis of cleft palate width and postoperative velopharyngeal function.Methods The data of 44 patients with cleft palate from 2012 to 2020 were collected, and the Furlow method was used to repair the cleft palate. According to the different cleft width of cleft palate before surgery, patients were divided into three groups: narrow group, medium-width group and wide group. The velopharyngeal function of patients in each group was tested and analyzed, including subjective voice judgment and nasopharyngeal fiberoscopy. Results The results of subjective voice judgment showed that the rate of postoperative velopharyngeal insufficiency in the three groups was 20%, while the results of nasopharyngeal fiberscopy showed 18%. There was no statistical difference between the two detection results( P>0.05). The results showed that the velopharyngeal insufficiency rate in narrow group was significantly lower than that in medium-width group and wide group(P<0.05), and there was no significant difference between medium-width group and wide group(P>0.05). Pearson correlation analysis showed that cleft palate width was positively correlated with postoperative speech intelligibility score and nasopharyngeal fiberoscopy score(r =0.570, 0.560, P <0.05), that is, the wider the cleft palate, the higher the postoperative velopharyngeal insufficiency rate. Conclusion The velopharyngeal closure function is different after surgery by Furlow’s method, which is significantly related to the preoperative cleft palate width.

关 键 词：腭裂宽度 Furlow法 腭咽功能 

分 类 号：R622[医药卫生—整形外科]