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3种腭成形术对术后语音改善的比较 被引量:1

Comparison Study on the Three Palatoplasties by the Articulation Postoperated
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摘要 目的在恢复腭咽部解剖形态和术后生理功能的方面,寻找到最佳手术方法。方法应用主观耳测评判和客观评定法,对75例腭裂患者术前术后的语音学特点进行评定。结果主观耳测评定方法结果显示:采用提肌重建术和软腭反向双"Z"瓣移位术,术后患者语音清晰度>70%的患者数量明显高于采用兰氏法,语音改善明显。结论提肌重建术和软腭反向双"Z"瓣移位术能够充分延长后退软腭,充分发挥腭帆提肌的作用,对实现完善的腭咽闭合具有重要意义。 Objective To find a best surgical operation in which can resume palatopharyngeal' s anatomical morphology and postpoperated physiological function. Methods By the listener and objective judgements, judge 75 palate patient' s velopharyngeal closure. Results The results of objective and subjective judgements shows: the articulation 〉 70% patient numbers with postoperated by Furlow double opposing Z - plasty and Levator muscle reconstruction has long higher than operated by Von langen beck, speech has distinct improvement, P 〈 0.05. Conclusion Furlow double opposing Z - plasty and Levator muscle reconstruction can increased velar length and play the effect of levator veil palati muscle, have an important significance for perfect VP. Key words: Cleft palate; Palatoplasty
作者 刘瑜
出处 《黑龙江医学》 2008年第5期323-324,共2页 Heilongjiang Medical Journal
关键词 腭裂 腭成形术 Cleft palate Palatoplasty
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参考文献5

  • 1邱蔚六 主编.口腔颌面外科理论与实践[M].北京:人民卫生出版社,2004.521-522.
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  • 3Seagle,M B,Caffee H H,and Wood V P.Prospective Randomized Comparison of a Modified vonlangenbeck Palatoplasty and the Furlow Double-Oppossing Z-plasty.Presented at the Annual meeting of the American Association of Plastic Surgeons[J].Hot Spring,1990.
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