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腭裂患者初次修复术后腭咽闭合相关因素分析。

Analysis of the correlative factors for velopharyngeal closure of patients with cleft palate after primary repair.

机构信息

Department of Stomatology, the Third People's Hospital of Chengdu and the Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu, China.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Dec;116(6):e424-8. doi: 10.1016/j.oooo.2012.01.045. Epub 2012 Aug 15.

DOI:10.1016/j.oooo.2012.01.045
PMID:22901638
Abstract

OBJECTIVE

The objective of this study was to analyze the correlative factors for velopharyngeal closure of patients with cleft palate after primary repair.

STUDY DESIGN

Ninety-five nonsyndromic patients with cleft palate were enrolled. Two surgical techniques were applied in the patients: simple palatoplasty and combined palatoplasty with pharyngoplasty. All patients were assessed 6 months after the operation. The postoperative velopharyngeal closure (VPC) rate was compared by χ(2) test and the correlative factors were analyzed with logistic regression model.

RESULTS

The postoperative VPC rate of young patients was higher than that of old patients, the group with incomplete cleft palate was higher than the group with complete cleft palate, and combined palatoplasty with pharyngoplasty was higher than simple palatoplasty. Operative age, cleft type, and surgical technique were the contributing factors for postoperative VPC rate.

CONCLUSIONS

Operative age, cleft type, and surgical technique were significant factors influencing postoperative VPC rate of patients with cleft palate.

摘要

目的

本研究旨在分析初次修复后腭裂患者腭咽闭合的相关因素。

研究设计

共纳入 95 例非综合征性腭裂患者。患者采用单纯腭裂修补术和腭裂咽成形术联合两种手术方法。所有患者均在术后 6 个月进行评估。采用 χ(2)检验比较术后腭咽闭合(VPC)率,并采用 logistic 回归模型分析相关因素。

结果

年轻患者的术后 VPC 率高于老年患者,不完全腭裂组高于完全腭裂组,腭裂咽成形术联合组高于单纯腭裂修补术组。手术年龄、裂隙类型和手术方法是影响术后 VPC 率的因素。

结论

手术年龄、裂隙类型和手术方法是影响腭裂患者术后 VPC 率的重要因素。

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