阻塞器在治疗腭咽闭合不全中的应用

摘要

目的评价应用阻塞器治疗腭咽闭合不全(VPI)的效果.方法对100例单侧或双侧腭裂手术后病人联合应用鼻咽纤维镜和计算机语图分析系统,定量分析评价经过治疗后病人的腭咽闭合(VPC)改进状况.结果通过采用暂时性腭咽阻塞器序列治疗并配合语音训练,病人的腭咽闭合状况得到了明显的改善,并建立了一种客观的定量检测方法用于评价经阻塞器治疗的手术后腭裂病人腭咽闭合状况.结论本方法是一种准确、效果明显、实用的治疗方法.本文首次提出了腭咽闭合不全改善率(IRVPI)这一概念用以反应治疗后腭咽闭合不全的改善效果.%Objective To evaluate the effect of a system of velopharyngeal incompetence (VPI) management after the application of obturator. Methods Using nasopharyngofiberoscope (NPF) and a computer analysis system, we quantitatively analyzed the improved state of velopharyngeal incompetence in 100 patients with unilateral and/or bilateral cleft palate. Results The velopharyngeal closure (VPC) can be greatly improved by using a temporary oral prosthesis (obturator) and speech training. An objective quantitative standard was established to evaluate the change of velopharyngeal closure of cleft palate patients after surgery and conservative treatment. Conclusions The method used is more succinct, accurate and practical than previous methods. In order to reflect the state of velopharyngeal incompetence, the concept of improvement rate of velopharyngeal incompetence (IRVPI) is put forward.