| 腭裂病人一期术后的语音评估 |
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| 引用本文： | 杨学财,李宁毅,贾暮云,张艳,卜令学.腭裂病人一期术后的语音评估[J].青岛大学医学院学报,2008,44(6). |
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| 作者姓名： | 杨学财 李宁毅 贾暮云 张艳 卜令学 |
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| 作者单位： | 青岛大学医学院附属医院口腔颌面外科,山东,青岛,266003 |
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| 摘 要： | 目的 对腭裂病人一期术后的语音障碍进行评估和分析,寻求合理的治疗方法 .方法 因语音障碍在我院就诊的唇腭裂或腭裂术后病人共65例,其中单侧完全性腭裂28例,单侧不完全性腭裂19例,双侧完全性腭裂10例,不能判定腭裂类型者8例.对65例病人行语音评估及同期录音分析,分析共鸣方式和构音方法 ;并对47例病人行鼻咽纤维镜(NPS)检查,确定腭咽闭合不全率(Ratio).结果 语音评估结果 显示,共鸣方式为高鼻音52例(占80.0%),低鼻音13例(占20.0%);从音韵结构历程和病人构音位置等方面分析,声母省略47例(占72.3%),声母舌后置19例(占29.2%),声母舌前置16例(占24.6%),而喉头音和代偿性语音32例(占49.2%).NPS检查示,Ratio<0.3者12例,0.3～0.5者15例,0.6～0.7者11例,0.8～0.9者9例.结论 对腭裂病人一期术后语音评估有助于手术方式的评价,并为二期腭咽成形手术和语音治疗提供客观依据.
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| 关 键 词： | 腭裂 手术 语音 评估 |
SPEECH ASSESSMENT AFTER PRIMARY PALATOPLASTY OF PATIENTS WITH CLEFT PALATE |
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| YANG XUE-CAI,LI NING-YI,JIA MU-YUN,et al.SPEECH ASSESSMENT AFTER PRIMARY PALATOPLASTY OF PATIENTS WITH CLEFT PALATE[J].Acta Academiae Medicinae Qingdao Universitatis,2008,44(6). |
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| Authors: | YANG XUE-CAI LI NING-YI JIA MU-YUN |
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| Institution: | YANG XUE-CAI,LI NING-YI,JIA MU-YUN,et al (Department of Oral , Maxillofacial Surgery,The Affiliated Hospital of Qingdao University Medical Collage,Qingdao 266003,China) |
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| Abstract: | Objective To analyze speech disorder in patients with cleft palate after primary repair. Methods Sixty-five patients with cleft lip and palate or cleft palate associated with speech disorder were treated in this hospital.Of whom,28 with unilateral complete cleft palate,19 with unilateral incomplete cleft palate,10 with bilateral complete cleft palate,and eight could not be classified.Their speech sound was recorded and analyzed. Results In resonance,52 patients(80.0%) were hypernasality,13(20.0%) were hypon... |
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| Keywords: | Cleft palate Palatolplasty Speech Assessment |
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