【摘要】 目的通过回顾性调查,研究在不同年龄修复腭裂后腭咽闭合功能恢复的规律。方法将102例年龄在10岁以上,腭裂术后2年以上的单侧完全性唇腭裂患者,根据接受腭裂手术的年龄分为三组,A组:0~3.00岁手术组(n=37)、B组:3.01~6.00岁手术组(n=36)和C组:6.01岁以上手术组(n=29)。随访时进行鼻咽纤维镜检查,对其最大腭咽闭合程度进行等级评价。并对不同手术年龄组间的腭咽闭合程度进行统计学检验。结果统计学检验显示腭咽闭合程度在A组与B组以及A组与C组间差异有显著性(P<0.05),B组与C组间差异有显著性趋势(P=0.051)。说明0~3.00岁接受腭裂修复术患者术后腭咽闭合功能的恢复要明显优于3.01岁以上接受腭裂修复术的患者,而3.01~6.00岁接受腭裂修复术患者术后腭咽闭合功能的恢复要优于6.01岁以上接受腭裂修复术的患者。结论在不同年龄进行腭裂修复术其术后腭咽闭合功能恢复的程度不同。手术年龄越小,恢复程度越好。更多还原

【Abstract】 Objective To investigate the effect of different palatoplasty timing on the velopharyngeal closure function by a retrospective study.Methods One hundred and two UCLP consecutive cases who were older than 10 years were followed up,which were divided into three groups according to the age of operation, first group: 0～3.00 years old (n=37), second group:3.01～6.00 years old (n=36) and third group:6.01 years old above (n=29). Nasopharyngeal fiberscopy examination was underwent and five grades system was used to evaluate velopharyngeal closure.Results The result of VPI evaluation show that significant difference existed between 1st and 2nd groups (P<0.05), and also existed between 1st and 3rd groups (P<0.05), while no significant difference existed between 2nd and 3rd groups (P=0.051). These mean that the velopharyngeal closure function in 1st group was better than 2nd and 3rd groups, and the velopharyngeal closure function in 2nd group was better than 3rd groups.Conclusion Three years old appeared an important line for velopharyngeal closure function .The degree of velopharyngeal incompetence increased along with increase of operation age.更多还原