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先天性腭裂治疗的目的,除封闭裂隙外,还要恢复患者的语音和鼻咽部生理功能。因此,术后语音恢复的情况应是判断手术成功与否或评价手术方法优劣的重要标准,而完善的腭咽闭合又是术后语音恢复的解剖基础。为此,我们在近两年多来,开展了咽腔造影检查,以了解患者术前后腭咽闭合的情况。并对50例采用典型后推手术法施行腭裂整复术后的患者进行了远期的随访复查,使用语音检查,咽腔造影检查及咽侧壁动度检查的综合性方法来确定其治疗效果。
The purpose of congenital cleft palate treatment, in addition to closed fractures, but also to restore the patient's voice and nasopharyngeal physiology. Therefore, postoperative recovery of speech should be an important criterion for judging the success of surgery or evaluating the pros and cons of surgical procedures, and the complete velopharyngeal closure is the anatomical basis of postoperative voice recovery. To this end, we in the past two years, carried out pharyngeal angiography to understand the patient before and after velopharyngeal closure of the situation. Fifty patients who undergone cleft palate surgery after typical postoperation were followed up for long-term follow-up. The comprehensive treatment of speech examination, pharyngeal angiography and pharyngeal wall motion was used to determine the therapeutic effect .