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目的探讨腭裂术后腭咽闭合不全的个体化治疗方式。方法对48例腭裂术后腭咽闭合不全患者进行病史回顾、查体、鼻咽纤维镜检查以及语音评估,根据检查结果分为3型。A型:腭咽闭合率在80%以上,软腭后缘距离咽后壁6 mm以内。B型:腭咽闭合率在80%以下,软腭短,咽侧壁动度较差。C型:腭咽闭合率在80%以下,软腭短,咽侧壁动度较好。对这3型患者分别采取不同的手术方式进行治疗。结果所有48例患者经个体化手术治疗后,腭咽闭合率以及语音效果都得到明显改善和提高。结论对腭裂术后腭咽闭合不全的患者,应在详细检查的基础上针对性地施行个体化手术治疗方案。
Objective To investigate the individualized treatment of velopharyngeal insufficiency after cleft palate surgery. Methods 48 cases of cleft palate after velopharyngeal insufficiency patient history review, physical examination, nasopharyngeal fiboscopy and voice assessment, according to the test results are divided into 3 types. Type A: velopharyngeal closure rate of 80% or more, the soft palate posterior edge within 6 mm from the posterior pharyngeal wall. Type B: velopharyngeal closure rate below 80%, soft palate short, poor pharyngeal wall mobility. Type C: velopharyngeal closure rate below 80%, soft palate short, pharyngeal wall mobility is better. The three types of patients were treated with different surgical methods. Results All 48 patients after individualized surgery, the velopharyngeal closure rate and speech effects have been significantly improved and improved. Conclusion For patients with velopharyngeal orifices after velopharyngeal cleft palate, personalized surgical treatment should be targeted on the basis of detailed examination.