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目的评价腭部肿瘤切除术后采用赝复体修复腭部洞穿性缺损对患者术后语音功能的影响。方法选择2009年9月至2011年2月在深圳市人民医院口腔外科因肿瘤切除导致腭部洞穿性缺损的15例患者为研究对象,术后3个月运用赝复体修复腭部洞穿性缺损;另选15名正常人作为对照组。采用主观语音清晰度测试法评价患者佩戴赝复体修复前、后的语音清晰度,对所收集资料进行单因素方差分析。结果患者佩戴赝复体修复前、佩戴赝复体修复后和正常对照组的语音清晰度平均测定值分别为(55.6±1.31)%、(86.9±1.08)%和(98.9±0.51)%,单因素方差分析两两比较结果显示,佩戴赝复体修复后语音清晰度显著高于佩戴赝复体修复前(P<0.01),但仍显著低于正常对照组的语音清晰度(P<0.01)。结论腭部肿瘤术后洞穿性缺损赝复体修复能显著改善患者语音清晰度,但仍须进一步提高。
Objective To evaluate the effect of prosthesis on the postoperative phonological function in patients with palatal penetrating defect after palatal tumor resection. Methods From September 2009 to February 2011 in Shenzhen City People’s Hospital of oral surgery due to tumor resection caused by palatal hole puncture defect in 15 patients as the research object, 3 months after the use of prostheses to repair the palate cut-through defect ; Another 15 normal people as the control group. The subjective speech intelligibility test was used to evaluate the speech intelligibility before and after prosthetic wear, and the data were analyzed by one-way ANOVA. Results Before the prosthetic prosthesis was worn, the mean measured speech intelligibility of the prostheses prostheses and normal controls were (55.6 ± 1.31)%, (86.9 ± 1.08)% and (98.9 ± 0.51)%, respectively ANOVAs ANOVA analysis showed that the speech intelligibility of the prosthetic prosthesis was significantly higher than that of the prosthetic prosthesis (P <0.01), but still significantly lower than that of the normal control group (P <0.01) . Conclusion Prosthetic penetrating prostheses repair the palatal tumors can significantly improve speech clarity, but still need to be further improved.