腭裂宽度与Furlow腭成形术后腭咽闭合功能的相关性及腭咽闭合不全的影响因素分析  

Correlation between Cleft Palate Width and Velopharyngeal Closure Function after Furlow Palatoplasty and Factors Affecting Velopharyngeal Insufficiency

作　　者：亚尔肯·阿吉 马嘉平[1] 许辉[2] 马依热·阿布都赛麦提 唐志岩[2] Yaerken·Aji;MA Jia-ping;XU Hui;Mayire·Abudusaimaiti;TANG Zhi-yan(Department of Stomatology,People's Hospital of Xinjiang,Uygur Autonomous Region,Urumqi,Xinjiang,830001,China;Department of Oral and Maxillofacial Surgery,People's Hospital of Xinjiang,Uygur Autonomous Region,Urumqi,Xinjiang,830001,China)

机构地区：[1]新疆维吾尔自治区人民医院口腔科,新疆乌鲁木齐830001 [2]新疆维吾尔自治区人民医院口腔颌面外科,新疆乌鲁木齐830001

出　　处：《现代生物医学进展》2024年第22期4367-4369,共3页Progress in Modern Biomedicine

基　　金：新疆维吾尔自治区自然科学基金项目(2022D01C148)。

摘　　要：目的:分析腭裂宽度与Furlow腭成形术后腭咽闭合功能的相关性及腭咽闭合不全的影响因素。方法:分析2020.4-2023.4于我院行Furlow腭成形术的102例腭裂患儿的临床资料,分为闭合完全组(45例)与闭合不全组(57例),比较相关指标。结果:随访1年,102例患儿中共有57例发生腭咽闭合不全,总发生率为55.88%;因素分析显示,手术年龄、咽腔深度、腭裂宽度均为影响Furlow腭成形术后患儿腭咽闭合不全的独立危险因素(P<0.05);手术年龄、腭裂宽度及咽腔深度均与Furlow腭成形术后腭咽闭合功能呈正相关(r=0.462、0.569、0.320,P<0.05)。结论:手术年龄、腭裂宽度、咽腔深度均为影响Furlow腭成形术后患儿腭咽闭合不全的独立危险因素,且均与腭咽闭合不全发生率呈正相关。Objective:To analyze the correlation between cleft palate width and palatopharyngeal closure function after Furlow palatoplasty and the influencing factors of incomplete palatopharyngeal closure.Methods:The clinical data of 102 children with cleft palate who underwent Furlow palatoplasty in 2020.4-2023.4 were analyzed and divided into closed complete group(45 cases)and closed insufficiency group(57 cases),and relevant indicators were compared.Results:After 1-year follow-up,a total of 57 cases of 102 children had velopharyngeal insufficiency,the total incidence was 55.88%;factor analysis showed that surgical age,pharyngeal depth,and cleft width were independent risk factors for palatatal insufficiency(P<0.05);operative age,cleft width and pharyngeal depth were positively correlated with palatopharyngeal closure function after Furlow(r=0.462,0.569,0.320,P<0.05).Conclusion:Age at surgery,cleft palate width,and pharyngeal cavity depth were all independent risk factors affecting palatopharyngeal closure insufficiency in children after Furlow palatoplasty,and they were all positively correlated with the incidence of palatopharyngeal closure insufficiency.

关 键 词：Furlow腭成形术 腭裂宽度 腭咽闭合功能 影响因素 

分 类 号：R782[医药卫生—口腔医学]