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目的 :提高对先天性腭咽功能不全患者的诊断和治疗率。方法 :2 2例CVPI患者 ,男性 10人 ,女性 12人 ,年龄 4～ 2 5岁 ,平均为 13岁 ,对其出现的局部和全身症状作相关的临床检查、头颅定位分析和语音测试。结果 :2 2例CVPI患者 ,临床表现除了过高鼻音 ,鼻漏气及代偿性发音外 ,其中伴先天性心脏病 2例 ,耳部疾患 3例 ,视力异常 3例 ,四肢畸形 1例。韦氏智力测试IQ为轻度障碍。头颅定位分析CVPI组与正常组有显著性差异。语音测试CVPI组明显低于正常组。结论 :通过对CVPI患者的临床检查 ,CVPI不仅有局部的临床特征 ,同时还可伴有全身系统的异常 ,充分认识此疾病可大大提高CVPI的诊断率和治疗率。
Objective: To improve the diagnosis and treatment of patients with congenital velopharyngeal insufficiency. Methods: Twenty-two patients with CVPI, 10 males and 12 females, aged from 4 to 25 years old with an average of 13 years old, were included in the study. The patients were followed up for clinical examination, craniofacial analysis and voice tests on local and systemic symptoms. Results: In 2 2 patients with CVPI, the clinical manifestations included not only high nasal, nasal leakage and compensatory vocalization, but also 2 cases with congenital heart disease, 3 ear disorders, 3 cases of abnormal visual acuity and 1 case of limb deformities. Wechsler IQ test for mild disorders. Cephalometric analysis CVPI group and the normal group have significant differences. The voice test CVPI group was significantly lower than the normal group. Conclusions: Through clinical examination of patients with CVPI, CVPI not only has local clinical features, but also may be associated with systemic abnormalities. A full understanding of this disease can greatly improve the diagnostic rate and treatment rate of CVPI.