[1]张新风,王鹏来,蒋常委,等. 改良兰氏+反向双Z法腭裂手术对患儿发音影响的临床研究[J].中国美容医学,2018,(07):116-119.
 ZHANG Xin-feng,WANG Peng-lai,JIANG Chang-wei,et al. Clinical Study of Modified Langerhans Plus Double Z Method for Cleft Palate Surgery in Children[J].Medical Aesthetics and Beauty,2018,(07):116-119.
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 改良兰氏+反向双Z法腭裂手术对患儿发音影响的临床研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年07期
页码:
116-119
栏目:
出版日期:
2018-08-10

文章信息/Info

Title:
 Clinical Study of Modified Langerhans Plus Double Z Method for Cleft Palate Surgery in Children
文章编号:
1008-6455(2018)07-0116-04
作者:
 张新风王鹏来蒋常委王 璇
Author(s):
 ZHANG Xin-fengWANG Peng-laiJIANG Chang-weiWANG Xuan
关键词:
 [关键词]改良兰氏反向双Z法腭裂儿童发音
Keywords:
 Key words: modified langerhans reverse double Z method cleft palate children pronunciation
分类号:
R782.2+2
文献标志码:
A
摘要:
[摘要]目的:探讨改良兰氏+反向双Z法腭裂手术对患儿发音的影响。方法:选取2013年2月-2016年1月行改良兰氏法+软腭双
层“Z”形三角瓣修复法的30例腭裂患儿为观察组,选取既往予以兰氏两瓣法进行治疗的30例腭裂患儿为对照组。比较两组
患儿手术前后腭咽闭合不全率、元音[i]的第二共振峰(F2)、第三共振峰(F3)、F1振幅能量值(A1)、辅音样本冲直
条、擦音乱纹出现率以及语音清晰度。结果:两组患儿术后腭咽闭合不全率均低于术前(P <0.05);观察组患儿术后腭
咽闭合不全率低于对照组(P <0.05)。与手术前相比,两组患儿术后F2、F3高于术前,A1低于术前,差异有统计学意义
(P <0.05);观察组患儿术后F2、F3高于对照组,A1低于对照组(P<0.05)。观察组患儿术后辅音样本冲直条、擦音乱纹
出现率高于对照组,差异有统计学意义(P <0.05)。两组患儿术后语音清晰度均高于手术前(P <0.05);观察组患儿术后
语音清晰度优于对照组,差异有统计学意义(P <0.05)。结论:腭裂手术软腭延长能有效改善腭裂患儿腭咽闭合功能,改
善发音。

Abstract:
Abstract: Objective To investigate the effect of modified Lanzi plus reverse double Z on cleft palate in children.
Methods From February 2013 to January 2016, 30 cases of children with modified cleft palate and soft palate double Z
shaped triangular flap repair method of cleft palate as observation group, select the previous two patients were treated by
Rana’s method. Two groups were compared before and after surgery of velopharyngeal incompetence rate,[i]second vowel
formants,third formant amplitude, F1 energy, rushed straight, fricative consonant sample random lines appear rate and speech
intelligibility. Results The rate of velopharyngeal insufficiency in two groups was lower than that before operation (P <0.05),and
the rate of velopharyngeal insufficiency in the observation group was lower than that in the control group (P <0.05). Compared
with pre operation, the postoperative F2 and F3 in the two groups were higher than before the operation and A1 was lower
than that before the operation (P <0.05), and the postoperative F2 and F3 in the observation group were higher than those
in the control group, and the A1 was lower than the control group (P <0.05). The incidence rate of consonant samples in
the observation group was higher than that in the control group (P <0.05). The speech intelligibility of the two groups was
higher than that before operation (P <0.05), and the speech intelligibility of the observation group was better than that of the
control group (P <0.05). Conclusion Soft palate lengthening of cleft palate can effectively improve velopharyngeal function
and improve pronunciation in patients with cleft palate.

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更新日期/Last Update: 2018-09-10