华西口腔医学杂志

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腭咽成形术后通气情况的随访研究

刘超1  钦传奇1  王?1  李伟2  郑谦1  石冰1   

  1. 1.口腔疾病研究国家重点实验室华西口腔医院唇腭裂外科(四川大学);2.口腔疾病研究国家重点实验室华西口腔医院(四川大学),成都 610041
  • 收稿日期:2012-10-18 修回日期:2013-05-22 出版日期:2013-10-01 发布日期:2013-10-01
  • 通讯作者: 石冰,Tel:13666170278
  • 作者简介:刘超(1985—),男,四川人,住院医师,博士

A follow-up study on velopharyngeal airway condition post pharyngoplasty

Liu Chao1, Qin Chuanqi1, Wang Yan1, Li Wei2, Zheng Qian1, Shi Bing1.   

  1. 1. State Key Laboratory of Oral Diseases, Dept. of Cleft Lip and Palate, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 2. State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2012-10-18 Revised:2013-05-22 Online:2013-10-01 Published:2013-10-01

摘要:

目的  了解腭裂患者行腭咽成形术后通气状态的变化情况。方法  对35例腭裂患者行腭咽肌瓣咽成形术(SPP)或咽后壁瓣咽成形术(PF),并在术后半年对腭咽通气情况进行随访。结果  腭咽通气孔堵塞时间平均为(42.8±32.4)d,SPP组和PF组术后腭咽堵塞时间差异无统计学意义。28名患者有经常口干的情况;34名患者有睡眠时打鼾现象。结论  腭咽成形术后患者腭咽部堵塞时间为术后42.8 d,口呼吸和睡眠时打鼾是其常见并发症。

关键词: 腭裂, 腭咽闭合不全, 腭咽肌瓣咽成形术, 咽后壁瓣咽成形术

Abstract:

Objective  To observe changes in velopharyngeal airway condition post pharyngoplasty. Methods  Thirty-five patients underwent sphincter pharyngoplasty (SPP) or pharyngeal flap (PF). The follow-up period was approximately six months. Duration of velopharyngeal airway obstruction was recorded. Results  Average obstruction duration was (42.8 ± 32.4) d. No significant difference in obstruction duration was found between the SPP and PF groups . Twenty-eight patients complained of mouth and lip dryness. Thirty-four patients experienced snoring while sleeping. Conclusion  Average obstruc-tion duration post pharyngoplasty is 42.8 d. Oral respiration and snoring are common complications.

Key words: cleft palate, velopharyngeal insufficiency, sphincter pharyngoplasty, pharyngeal flap