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Int Arch Otorhinolaryngol. 2013 Jul;17(3):251-6. doi: 10.7162/S1809-97772013000300004.

本文引用的文献

1
[Investigation of the optimized surgical procedure for the cleft palate patients over six years old].
Hua Xi Kou Qiang Yi Xue Za Zhi. 2010 Jun;28(3):294-7, 302.
2
Timing of primary lip repair in cleft patients according to surgical treatment protocol.
Bratisl Lek Listy. 2010;111(3):160-2.
3
Magnetic resonance imaging assessment of velopharyngeal structures in Chinese children after primary palatal repair.中国儿童初次腭裂修复术后腭咽结构的磁共振成像评估
J Craniofac Surg. 2010 Mar;21(2):568-77. doi: 10.1097/SCS.0b013e3181d08bd1.
4
Palatoplasty: evolution and controversies.腭裂修复术:发展历程与争议
Chang Gung Med J. 2008 Jul-Aug;31(4):335-45.
5
Clinical outcomes of the Furlow Z-plasty for primary cleft palate repair.用于原发性腭裂修复的弗洛(Furlow)Z形瓣手术的临床结果
Cleft Palate Craniofac J. 2008 Sep;45(5):501-10. doi: 10.1597/07-063.1. Epub 2008 Jan 3.
6
A cross-sectional study of speech in 10-year-old children with cleft palate: results and issues of rater reliability.
Cleft Palate Craniofac J. 2007 Jan;44(1):33-44. doi: 10.1597/05-164.
7
A multicenter outcomes assessment of five-year-old patients with unilateral cleft lip and palate.一项针对五岁单侧唇腭裂患者的多中心结局评估。
Cleft Palate Craniofac J. 2006 May;43(3):253-8. doi: 10.1597/04-093.1.
8
Timing of cleft palate closure should be based on the ratio of the area of the cleft to that of the palatal segments and not on age alone.腭裂修复的时机应基于腭裂面积与腭部各段面积的比例,而不应仅基于年龄。
Plast Reconstr Surg. 2005 May;115(6):1483-99. doi: 10.1097/01.prs.0000161673.31770.23.
9
Parent's age and the risk of oral clefts.父母年龄与口腔裂隙风险
Epidemiology. 2005 May;16(3):311-6. doi: 10.1097/01.ede.0000158745.84019.c2.
10
Surgical anatomy of the levator veli palatini: a previously undescribed tendinous insertion of the anterolateral fibers.腭帆提肌的手术解剖:前外侧纤维一种先前未描述的腱性附着。
Plast Reconstr Surg. 2004 Aug;114(2):307-15. doi: 10.1097/01.prs.0000131869.45025.5a.

腭裂患者临床因素与腭咽闭合关系的研究

Study of relationship between clinical factors and velopharyngeal closure in cleft palate patients.

作者信息

Chen Qi, Zheng Qian, Shi Bing, Yin Heng, Meng Tian, Zheng Guang-Ning

机构信息

Postgraduate, State Key Laboratory of Oral Disease, West China College of Stomatology, Sichuan University, Chengdu, PR China.

出版信息

J Res Med Sci. 2011 Jul;16(7):945-50.

PMID:22279464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3263109/
Abstract

BACKGROUND

This study was carried out to analyze the relationship between clinical factors and velopharyngeal closure (VPC) in cleft palate patients.

METHODS

Chi-square test was used to compare the postoperative velopharyngeal closure rate. Logistic regression model was used to analyze independent variables associated with velopharyngeal closure.

RESULTS

Difference of postoperative VPC rate in different cleft types, operative ages and surgical techniques was significant (P=0.000). Results of logistic regression analysis suggested that when operative age was beyond deciduous dentition stage, or cleft palate type was complete, or just had undergone a simple palatoplasty without levator veli palatini retropositioning, patients would suffer a higher velopharyngeal insufficiency rate after primary palatal repair.

CONCLUSIONS

Cleft type, operative age and surgical technique were the contributing factors influencing VPC rate after primary palatal repair of cleft palate patients.

摘要

背景

本研究旨在分析腭裂患者临床因素与腭咽闭合(VPC)之间的关系。

方法

采用卡方检验比较术后腭咽闭合率。使用逻辑回归模型分析与腭咽闭合相关的自变量。

结果

不同腭裂类型、手术年龄和手术技术的术后VPC率差异有统计学意义(P = 0.000)。逻辑回归分析结果表明,当手术年龄超过乳牙列期,或腭裂类型为完全性,或仅接受了未进行腭帆提肌复位的单纯腭裂修复术时,患者在初次腭裂修复术后腭咽功能不全率会更高。

结论

腭裂类型、手术年龄和手术技术是影响腭裂患者初次腭裂修复术后VPC率的因素。