[1] 魏志强,张锡忠. 唇腭裂患者经上颌前方牵引治疗后其语音功能的影响研究[J].中国美容医学,2020,(7):55-58.
　 WEI Zhi-qiang,ZHANG Xi-zhong. Infl uence of Maxillary Anterior Traction on the Articulatory Function in the Patientswith Unilateral Cleft Lip and Palate[J].Medical Aesthetics and Beauty,2020,(7):55-58.
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 唇腭裂患者经上颌前方牵引治疗后其语音功能的影响研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年7期
页码:
55-58
栏目:
出版日期:
2020-07-10

文章信息/Info

Title:
 Infl uence of Maxillary Anterior Traction on the Articulatory Function in the Patients
with Unilateral Cleft Lip and Palate
文章编号:
1008-6455（2020）07-0055-03
作者:
 魏志强; 张锡忠
Author(s):
 WEI Zhi-qiang; ZHANG Xi-zhong
关键词:
 [关键词]上颌前方牵引; 唇腭裂; 语音功能; 上气道; 腭咽闭合
Keywords:
 Key words:maxillary anterior traction; cleft lip and palate; articulatory function; upper airway; velopharyngeal closure
分类号:
R782.2+1
文献标志码:
A
摘要:
[摘要]目的：比较唇腭裂术后患者经上颌前方牵引治疗反牙合前后语音功能的变化，研究前方牵引是否会对此类患者的语音功
能产生影响。方法：根据纳入指标选取20例唇腭裂术后反牙合患者为实验组，采用上颌前方牵引；选取未经上颌前方牵引治
疗的18例单纯牙性错牙合的同类患者为对照组，比较两组治疗前后的腭咽部气道情况、鼻音化率、腭咽闭合不全率的变化，
统计分析唇腭裂患者经上颌前方牵引治疗后的语音功能变化。结果：治疗组前方牵引治疗后与治疗前比较,上气道腭咽部
横截面积、矢状向测量指标均明显增大，差异具有统计学意义, 冠状向各项测量指标差异无统计学差异；唇腭裂术后患者
经过上颌前方牵引治疗后，鼻音化率由(65.00±3.28)%增加到(68.00±4.91)%，腭咽闭合不全率由(48.32±3.72)%增加到
(52.19±4.31)%，差异具有统计学意义。结论：上颌前方牵引对单侧完全性唇腭裂患者上气道腭咽部狭窄改善明显，但伴随
着腭咽部狭窄的改善，腭咽闭合功能减弱，表现为鼻音化率明显增加，腭咽闭合不全率明显升高。

Abstract:
Abstract: Objective To compare the changes of articulatory function before and after maxillary anterior traction in patients
with unilateral cleft lip and palate, and to study whether maxillary anterior traction will affect the articulatory function of these
patients. Methods According to the inclusion criteria, 20 patients with cleft lip and palate after operation were selected as the
experimental group,the treatment method was maxillary anterior traction. 18 patients with dental malocclusion were selected
as the control group, treated without maxillary anterior traction. The changes of velopharyngeal airway, nasometer statistics
and velopharyngeal incompetence rate were compared between the two groups before and after treatment, and the changes of
articulatory function were statistically analyzed. Results In the experimental group, the cross-sectional area of upper airway
palatopharynx and Sagittal measurement index were significantly increased after maxillary anterior traction treatment, and
the difference was statistically significant.There was no significant difference in the measurement indexes of the coronal
direction. After maxillary anterior traction, the nasometer statistics increased from (65.00±3.28)% to (68.00±4.91)%,and the
velopharyngeal incompetence rate increased from (48.32±3.72)% to (52.19±4.31)%, the difference was statistically signifi cant.
Conclusion Maxillary anterior traction can signifi cantly improve the upper airway velopharyngeal stenosis in patients with
cleft lip and palate, at the same time,the velopharyngeal closure function is weakened, showing a significant increase in
nasometer statistics and velopharyngeal incompetence rate.

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更新日期/Last Update: 2020-07-22