组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (1): 55-57.doi: 10.3969/j.issn.1673-0364.2019.01.016

• 综述 • 上一篇    下一篇

腭裂术后腭咽闭合不全的评估

赵久丽,吴镝,尹宁北   

  1. 中国医学科学院北京协和医学院整形外科医院整形一科
  • 收稿日期:2018-10-11 修回日期:2018-12-08 出版日期:2019-02-20 发布日期:2019-02-20
  • 作者简介:尹宁北(E-mail:yin_nb@163.com)。

Evaluation of Velopharyngeal Insufficiency after Cleft Palate Surgery

ZHAO Jiuli,WU Di,YIN Ningbei   

  1. Plastic Surgery Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing 100144,China)
  • Received:2018-10-11 Revised:2018-12-08 Online:2019-02-20 Published:2019-02-20

摘要: 腭裂治疗的主要目的在于达到完善的腭咽闭合,获得正常的语音功能。但限于目前的手术方式及技术水平,许多患者腭裂术后仍存在腭咽闭合不全,使口腔内不能形成足够的压力,鼻漏气、异常的鼻腔共鸣导致语音清晰度降低。因此,在手术关闭腭部裂隙之后,仍需对患者的腭咽闭合情况进行评估,对腭咽闭合不全者要采取进一步的治疗措施。目前临床上关于腭咽闭合不全的评估方法有很多,可以分为主观评价和客观评价,客观评价又可以进一步分为直接评价和间接评价。本文将目前的评估方法进行归纳总结、分类对比,阐明其各自的评估原理、方法和优缺点,并对近年来的研究热点及应用前景进行综述。

关键词: 腭裂, 腭咽闭合不全, 评估

Abstract: One of the main purposes of cleft palate repair is to achieve perfect velopharyngeal and acquire normal speech function.However,limited to the current surgical methods and the ability of the operators,many patients with cleft palate still have velopharyngeal insufficiency,which can not form enough pressure in the mouth.Nasal leak and abnormal nasal resonance lead to reduction of speech articulation.Therefore,it is necessary to evaluate the velopharyngeal closure after cleft palate surgery.Further treatment should be taken on the patients with velopharyngeal insufficiency.At present,there are many clinical evaluation methods for velopharyngeal insufficiency,which can be divided into subjective and objective methods.And objective methods include direct methods and indirect methods.In this paper,these methods were summarized,classified and compared,and the principles,methods,advantages and disadvantages of which were clarified.The research hotspots and prospects in recent years were indicated.

Key words: Cleft palate, Velopharyngeal insufficiency, Evaluation

中图分类号: