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目的了解腭裂患者行腭咽成形术后通气状态的变化情况。方法对35例腭裂患者行腭咽肌瓣咽成形术(SPP)或咽后壁瓣咽成形术(PF),并在术后半年对腭咽通气情况进行随访。结果腭咽通气孔堵塞时间平均为(42.8±32.4)d,SPP组和PF组术后腭咽堵塞时间差异无统计学意义。28名患者有经常口干的情况;34名患者有睡眠时打鼾现象。结论腭咽成形术后患者腭咽部堵塞时间为术后42.8 d,口呼吸和睡眠时打鼾是其常见并发症。
Objective To investigate the changes of ventilation status after velopharyngealoplasty in patients with cleft palate. Methods 35 cases of palatopharyngeal pharyngoplasty (SPP) or posterior pharyngeal flap pharyngeal pharyngoplasty (PF) were performed. The velopharyngeal ventilation was followed up six months after the operation. Results The average time of pharyngeal ventilation occlusion was (42.8 ± 32.4) days. There was no significant difference between the two groups in the duration of pharyngeal obstruction. Twenty-eight patients had regular dry mouth conditions; 34 patients had snoring during sleep. Conclusion The palatine pharyngeal occlusion time after oral palatoplasty is 42.8 days postoperatively. It is a common complication of oral breathing and sleep snoring.