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应用鼻咽镜(NPF)对74例完全性腭裂术后患者进行了随访,术式均为二大瓣术。48例术后腭咽闭合功能良好,手术成功率为64.86%(48/74)。术后腭咽闭合不全(VPI)发生率有随手术年龄增大而增高的趋势,且 VPI 病员半环状和环状关闭类型比例明显高于手术后腭咽闭合完全的病员(X~2=6.39,P<0.05)。作者分析了其原因并提出预防和改进措施。对需要行咽成形术者,作者建议先作NPF检查,根据咽侧壁的不同活动度来设计手术方法,可提高手术成功率。
A total of 74 patients with complete cleft palate were followed up with nasopharyngoscopy (NPF). 48 cases of velopharyngeal closure function well, the success rate was 64.86% (48/74). The incidence of postoperative velopharyngeal insufficiency (VPI) tended to increase with the age of operation, and the proportion of semi-annular and annular closure types in patients with VPI was significantly higher than those with complete velopharyngeal closure (X ~ 2 = 6.39, P <0.05). The author analyzes its causes and puts forward prevention and improvement measures. The need for pharyngeal angioplasty, the authors recommend for the first NPF examination, according to different degrees of pharyngeal wall activity to design surgical methods, can improve the success rate of surgery.