口腔医学研究

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (3): 238-242.DOI: 10.13701/j.cnki.kqyxyj.2022.03.009

• 口腔颌面外科学研究 • 上一篇    下一篇

不完全性腭裂术后软腭与腭咽闭合的相关性研究

冯晓伟1, 李向军1*, 刘晓琳1, 窦晨雷2, 张晓1, 冯莹1, 张晓燕1, 邸璐1   

  1. 1.河北医科大学口腔医学院·口腔医院口腔颌面外科,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心 河北 石家庄 050017;
    2.河北医科大学第二医院口腔正畸科 河北 石家庄 050017
  • 收稿日期:2021-10-29 出版日期:2022-03-28 发布日期:2022-03-25
  • 通讯作者: * 李向军,E-mail:lixiangjun2013@sina.cn
  • 作者简介:冯晓伟(1985~ ),女,河北晋州人,硕士,主治医师,主要从事口腔颌面外科疾病研究及语音治疗。
  • 基金资助:
    河北省医学科学研究课题计划(编号:20191081)

Study on the Correlation between Soft Palate and Velopharyngeal Closure after Incomplete Cleft Palate Surgery

FENG Xiaowei1, LI Xiangjun1*, LIU Xiaolin1, DOU Chenlei2, ZHANG Xiao1, FENG Ying1, ZHANG Xiaoyan1, DI Lu1   

  1. 1. Department of Oral and Maxillofacial Surgery, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;
    2. Department of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang 050017, China
  • Received:2021-10-29 Online:2022-03-28 Published:2022-03-25

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摘要： 目的: 应用回顾性研究的方法对不完全性腭裂患者术后头颅侧位X线片测量并与健康对照组对比分析,探讨腭裂术后软腭与腭咽闭合功能的关联性及头颅侧位X线片在腭裂术后腭咽闭合功能评价中的应用。方法: 收集2017年1月~2019年12月在河北医科大学口腔医院手术并定期复查的不完全性腭裂术后患者40例(VPC 15例,MVPI 10例,VPI 15例),正常对照组10例,对其头颅侧位X线片进行测量分析。结果: 正常对照组、VPC组、MVPI组、VPI组的PU、PW、the need ratio、BC/BD、∠B2PC2总体分布均有统计学差异(P＜0.05)。并且在以下截断点PW≥23.50 mm,the need ratio≥0.81,PU≤23.50 mm,矢状位软腭运动闭合程度≤0.858,∠B2PC2≤29°时认为有临床诊断意义。结论: 腭裂术后腭咽闭合功能与软腭长度、动度均密切相关。术后可利用头颅侧位X线检查评估患者的腭咽闭合功能。

关键词: 腭裂, 软腭长度, 软腭动度, 头颅侧位X线检查, 腭咽闭合

Abstract: Objective: To investigate the relationship between soft palate and velopharyngeal closure function after incomplete cleft palate surgery through the application of lateral head X-ray in the evaluation of velopharyngeal closure function after incomplete cleft palate surgery. Methods: Forty patients with incomplete cleft palate surgery (VPC 15 cases, MVPI 10 cases, VPI 15 cases) from January 2017 to December 2019 who had undergone one-stage cleft palate surgery for more than half a year were selected as the research object, 10 normal cases were set as control group. Their head lateral X-rays were collected and analyzed. Results: The overall distribution of PU, PW, the need ratio, BC/BD, and ∠B2PC2 in the normal group, VPC group, MVPI group, and VPI group were statistically different (P<0.05). And the following cut-off point, i.e. PW≥23.50 mm, the need ratio≥0.81, PU≤23.50 mm, sagittal soft palate closure degree≤0.858, and ∠B2PC2≤29°, could be considered as significance of clinical diagnosis. Conclusion: The velopharyngeal closure function after cleft palate surgery is closely related to the length and mobility of the soft palate. Postoperative lateral head X-ray examination can be used to evaluate the patient's velopharyngeal closure function.

Key words: cleft palate, length of the soft palate, soft palate mobility, lateral cephalometric radiographs, velopharyngeal closure