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单侧上颌骨切除术后赝复体修复的临床评价
引用本文:陈永吉,秦芬,王权,胡媛媛,刘彩云,冷卫东.单侧上颌骨切除术后赝复体修复的临床评价[J].郧阳医学院学报,2012,31(2).
作者姓名:陈永吉  秦芬  王权  胡媛媛  刘彩云  冷卫东
作者单位:陈永吉 (湖北医药学院附属太和医院口腔医学中心,湖北十堰,442000);秦芬 (湖北医药学院附属太和医院妇科,湖北十堰,442000);王权 (湖北医药学院附属太和医院口腔医学中心,湖北十堰,442000);胡媛媛 (湖北医药学院附属太和医院口腔医学中心,湖北十堰,442000); 刘彩云 (湖北医药学院附属太和医院口腔医学中心,湖北十堰,442000); 冷卫东 (湖北医药学院附属太和医院口腔医学中心,湖北十堰,442000);
摘    要:目的:评价单侧上颌骨切除术后赝复体的修复效果。方法:选择16例因肿瘤行单侧上颌骨切除的患者为研究对象,分别测定患者赝复体修复前后的咀嚼效率及发音清晰度。结果:16例患者不戴修复体时咀嚼效率平均为(51.0±11.5)%,戴用修复体3个月后的咀嚼效率平均为(68.0±10.2)%。不戴修复体时的语音清晰度平均为(24.4±6.4)%,戴用修复体后清晰度平均为(80.6±9.2)%,差异均有统计学意义(P<0.05)。结论:单侧上颌骨切除术后缺损患者采用赝复体修复后咀嚼和发音功能恢复良好。

关 键 词:上颌骨切除术  赝复体  咀嚼效率  语音清晰度

Clinical Evaluation of Prosthesis Rehabilitation for Unilateral Maxillectomy:A Pilot Study
Abstract:Objective To evaluate the effect of unilateral maxillary prosthesis.Methods 16 patients that undergone lateral maxillectomy were selected,masticatory efficiency and pronunciation clarity were measured before and after the prosthetic treatment.Results The masticatory efficiency was mean(51.0±11.5)% before prosthesis while(68.0±10.2)% after prosthesis,and the pronunciation clarity was mean(24.4±6.4)% before prosthesis while(80.6±9.2)% after prosthesis.Conclusion The prosthesis can keep the integrity of mouth and nasal cavity and restore chewing function and phonation of patients undergoing lateral maxillectomy.
Keywords:Maxillectomy  Prosthesis  Masticatory efficiency  Speech intelligibility
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