腭裂腭咽闭合功能影响因素的研究  

STUDIES ON FACTORS AFFECTING VELOPHARYNGEAL FUNCTIONS OF CLEFT PALATE PATIENTS

作　　者：黄巍 宋业光[2] 方真[3] 宋儒耀[3] 

机构地区：[1]瑞士伯尔尼大学小岛医院 [2]中日友好医院整形外科 [3]中国医学科学院整形外科医院

出　　处：《中国修复重建外科杂志》2004年第1期37-39,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　探索手术年龄等因素对腭裂患儿术后腭咽闭合功能的影响。　方法　通过计算机语音评价系统结合腭咽侧位 X线片的测量 ,对 82例手术后患儿进行了回顾性研究 ,应用回归分析、相关分析等方法找出对于腭咽闭合功能相对重要的影响因素。　结果　手术年龄与腭咽闭合不全 (A1/ A2 )存在正相关 ,P值 <0 .0 0 1;且呈线形回归 ,回归模型具有显著性 ,P值 <0 .0 0 1,其回归方程 :腭咽闭合不全 (A1/ A2 ) =0 .0 0 5 85 2×手术年龄 +0 .96 1。　结论　手术年龄对腭裂患儿术后腭咽闭合功能恢复为重要的影响因素 ,手术年龄越小 ,腭咽闭合功能越接近正常。Objective To investigate the relationship between velopharyngeal functions and factors such as age at operation , cleft type, performing procedure. Methods FFT technique and velopharyngeal X-ray examination were used to evaluate the velopharyngeal functions of 82 patients. The relatively important factors affecting velopharyngeal functions were searched out through regression analyse and pearson correlation. Results A significant positive correlation was confirmed between AAO(age at operation) and A1A2(velopharyngeal incompetence), P<0.001. AAO also showed linear regression with A1A2. Model was significant, P<0.001. Quotation: A1A2(velopharyngeal incompetence)=0.005 852×AAO+0.961. Conclusion AAO was an important affecting factor on velopharyngeal functions. The earlier the cleft is repaired, the more normal velopharyngeal functions will be obtained.

关 键 词：腭裂 腭咽闭合功能 影响因素 小儿 手术年龄 腭咽闭合不全 

分 类 号：R782.22[医药卫生—口腔医学]