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以主客观评判法对三种腭成形术的比较研究
引用本文:孟宪文,冯金伟,吕智勇,徐旭光.以主客观评判法对三种腭成形术的比较研究[J].中国医药指南,2007,5(10):100-102.
作者姓名:孟宪文  冯金伟  吕智勇  徐旭光
作者单位:1. 黑龙江省医院
2. 哈尔滨医科大学第二附属医院
摘    要:目的寻找能够恢复腭咽部解剖形态和生理功能的手术方法。方法应用主观耳测评判和客观评判法,对97例腭裂患者术前术后的语音学特点进行评判。结果主客观评判方法结果显示:采用提肌重建术和软腭反向双"z"瓣移位术术后患者语音清晰度>70%的患者数量明显高于采用兰氏法,语音改善明显。结论提肌重建术和软腭反向双"z"瓣移位术能够充分延长后退软腭,充分发挥腭帆提肌的作用,对实现完善的腭咽闭合具有重要意义。

关 键 词:腭裂  腭成形术  主客观评判法
文章编号:1671-8194(2007)10-0100-03

Comparison study on the three palatoplasties by the objective and subjective judgement
Meng XianWen,Feng JinWei,Lv ZhiYong,Xu XuGuang.Comparison study on the three palatoplasties by the objective and subjective judgement[J].Guide of China Medicine,2007,5(10):100-102.
Authors:Meng XianWen  Feng JinWei  Lv ZhiYong  Xu XuGuang
Institution:Lv Zhi Yong XuXuGuang The Second Affiliated Hospital Harbin Medical University,Harbin,Hei long Jiang 150086
Abstract:Objective:To find a surgical operation in which can resume palatopharyngeal's anatomical morphology and physiological function.Methods:By the listener and objective judgements,judge 97 palate patient's velopharyngeal closure.Results:The results of objective and subjective judgements shows:the articulation>70% patient numbers with postoperated by Furlow double opposing Z-plasty and Levator muscle reconstruction has long higher than operated by Von langen beck,speech has distinct improvement, P<0.05.Conclusion:Furlow double opposing Z-plasty and Levator muscle reconstruction can increased velar length and play the effect of levator veil palati muscle,have an important significance for perfect VP.
Keywords:cleft palate  palatoplasty  objective  subjective judgement
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