Eisenbach C R, Williams W N
J Speech Hear Disord. 1984 May;49(2):136-9. doi: 10.1044/jshd.4902.136.
Retrospectively, the medical records of patients with known velopharyngeal insufficiency (VPI) were reviewed for comments based on an unaided visual examination regarding their velopharyngeal function. These comments were compared to objective findings obtained from the cinefluorographic evaluations performed on each of the patients. A total of 68 recorded comments (47 patients) were identified and fell into four broad categories: (1) velar length, (2) depth of the nasopharynx, (3) velopharyngeal closure, and (4) velar mobility. The results revealed an agreement level of 60% between judgements made from visual examinations and cinefluorographic evaluations. This relatively poor agreement suggests that management decisions concerning VPI must include some method of objectively assessing velopharyngeal form and function during connected speech.
回顾性地，我们查阅了已知腭咽闭合不全（VPI）患者的病历，以获取基于肉眼观察的关于其腭咽功能的评价意见。这些意见与对每位患者进行的动态荧光造影评估所获得的客观结果进行了比较。共识别出68条记录的评价意见（47名患者），并分为四大类：（1）软腭长度，（2）鼻咽深度，（3）腭咽闭合，以及（4）软腭活动度。结果显示，肉眼观察判断与动态荧光造影评估之间的一致率为60%。这种相对较差的一致性表明，关于VPI的治疗决策必须包括某种在连贯言语期间客观评估腭咽形态和功能的方法。
