腭部肿瘤术后洞穿性缺损赝复体修复的语音功能评价

目的评价腭部肿瘤切除术后采用赝复体修复腭部洞穿性缺损对患者术后语音功能的影响。方法选择2009年9月至2011年2月在深圳市人民医院口腔外科因肿瘤切除导致腭部洞穿性缺损的15例患者为研究对象,术后3个月运用赝复体修复腭部洞穿性缺损;另选15名正常人作为对照组。采用主观语音清晰度测试法评价患者佩戴赝复体修复前、后的语音清晰度,对所收集资料进行单因素方差分析。结果患者佩戴赝复体修复前、佩戴赝复体修复后和正常对照组的语音清晰度平均测定值分别为(55.6±1.31)%、(86.9±1.08)%和(98.9±0.51)%,单因素方差分析两两比较结果显示,佩戴赝复体修复后语音清晰度显著高于佩戴赝复体修复前(P<0.01),但仍显著低于正常对照组的语音清晰度(P<0.01)。结论腭部肿瘤术后洞穿性缺损赝复体修复能显著改善患者语音清晰度,但仍须进一步提高。

Articulatory function after excision of palatal tumor and prosthesis rehabilitation

Objective To evaluate the articulatory function after excision of palatal tumor and prosthesis rehabilitation. Methods Fifteen patients who had surgical palatal insight defect were investigated in our study; they were reconstructed with prosthesis 3 months later. Speech intelligibility test was conducted to evaluate the articulatory function before and after the patient was treated with prosthesis.15 normal people were also involved in our study as the control group. Results The speech intelligibility test showed that the mean Speech intelligibility（SI） score in non-prosthesis-covered group , prosthesis-covered group and control group were （55.6±1.31）%, （86.9±1.08）% and （98.9±0.51）%, respectively. The SI scores of prosthesis-covered group were significantly higher than non-prosthesis-covered group （P 〈 0.01 ）, but were significantly lower than control group （P 〈 0.01 ）. Conclusion Prosthesis rehabilitation can improve the speech intelligibility of the patients who have surgical palatal defect, but the effect is expected to improve.