黏膜下腭裂的腭咽闭合状态及语音表现分析

发布时间：2018-07-09 22:56

本文选题：黏膜下腭裂 + 腭咽闭合模式　；参考：《华西口腔医学杂志》2017年03期

【摘要】：目的通过分析黏膜下腭裂患者腭咽闭合模式、腭咽口各部分的收缩运动状况和语音表现,进一步探究黏膜下腭裂的病理特征规律。方法回顾2008—2016年于四川大学华西口腔医院唇腭裂外科就诊的黏膜下腭裂患者的病历资料,分析其术前腭咽功能、辅音构音表现,采用鼻咽内镜观察腭咽闭合模式以及软腭、咽侧壁和咽后壁的运动情况。结果共纳入353例黏膜下腭裂患者,其中术前腭咽闭合完全(VPC)者138例(39.09%),腭咽闭合不全(VPI)者176例(49.86%),边缘性腭咽闭合不全(MVPI)者39例(11.05%);268例患者接受了鼻咽内镜检查,167例(62.31%)为环状闭合,89例(33.21%)为冠状闭合,12例(4.48%)为矢状闭合;派氏嵴参与了45.51%(76/167)的环状闭合和13.48%(12/89)的冠状闭合。353例患者中137例(38.81%)构音正常,124例(35.13%)表现为辅音省略,51例(14.45%)有代偿性构音,36例(10.20%)有辅音弱化,25例(7.08%)有辅音替代,36例(10.20%)有2种以上的构音错误。结论环状闭合是黏膜下腭裂患者最主要的腭咽闭合模式,压力辅音省略是最常见的构音障碍。随着腭咽闭合程度的降低,发生2种以上构音错误的患者明显增加。
[Abstract]:Objective to investigate the pathological characteristics of lower palate cleft mucosa by analyzing the palatopharynx closure pattern, the contractile movement and phonological manifestations of each part of the palate mouth in patients with lower mucosal cleft palate. Methods the medical records of patients with cleft lip and palate from 2008 to 2016 in Huaxi Oral Hospital of Sichuan University were reviewed. The preoperative palatopharynx function and consonant structure were analyzed. The velopharyngeal closure pattern and soft palate were observed by nasopharynx endoscopy. Movement of the lateral and posterior pharyngeal walls. Results 353 patients with submucosal cleft palate were included. Among them, 138 cases (39.09%) had complete velopharyngeal closure (VPC), 176 cases (49.86%) had velopharyngeal insufficiency (VPI), 39 cases (11.05%) had marginal velopharyngeal insufficiency (MVPI), and 167 cases (62.31%) underwent endoscopic nasopharynx examination, 89 cases (33.21%) were coronal closure and 12 cases (4.48%) had coronal closure. In 137 patients (38.81%) with normal conformation, 124 patients (35.13%) showed consonant ellipsis in 51 cases (14.45%), 36 cases (10.20%) with compensatory consonants, and 25 cases (7.08%) with consonant weakening in 36 cases (10.20%) with compensatory consonant structure in 45.51% (76 / 167) and with coronal closure of 13.48% (12 / 89) in 124 cases (35.13%). More than 2 types of sound errors. Conclusion annular closure is the most important palatopharynx closure pattern in patients with submucosal cleft palate, and pressure consonant ellipsis is the most common dysarthria. With the decrease of palatopharynx closure, the number of patients with more than 2 malformation was significantly increased.
【作者单位】：口腔疾病研究国家重点实验室国家口腔疾病临床研究中心四川大学华西口腔医院唇腭裂外科;
【基金】：国家自然科学基金(81500829)~~
【分类号】：R782.22

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