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目的:为改善腭裂修复术后语言障碍患者的说话功能。方法:对6例腭裂术后语言功能极差患者,根据腭咽闭合功能障碍的程度,分别采用了咽后嵴成形和咽后瓣移植等二种方法,进行二期手术矫治。结果:6例矫治术前说话他人难以听懂或完全听不懂定为差、劣水平的语言状态,术后达到说话他人已大部分能听懂的良好水平。结论:腭咽闭合不良是腭裂修复术后语言障碍的主要原因,应在腭裂修复的同时行一期矫治。一期未能矫治者,应积极进行二期手术矫治,尽可能地改善其语言功能。
Objective: To improve the speech function of patients with speech disorders after cleft palate repair. Methods: Six patients with very poor linguistic function after cleft palate surgery were treated with phacoemulsification, posterior pharyngeal reconstruction and posterior pharyngeal flap respectively according to the degree of velopharyngeal closure dysfunction. Results: 6 cases of preoperative speech difficult to understand others or completely do not understand as poor, poor level of language state, after the speech reached the majority of others have been able to understand the good level. Conclusion: Poor velopharyngeal closure is the main reason for the language barrier after cleft palate repair. The palate repair should be performed in the first stage. A failed correction, should be actively carried out two surgical correction, as far as possible to improve their language functions.