边缘性腭咽闭合不全临床诊疗研究进展

Progress in the management of marginal velopharyngeal incompetence

摘要

边缘性腭咽闭合不全（MVPI）是腭裂术后腭咽功能的一类特殊状态。MVPI患者的腭咽生理和语音特征同典型腭咽闭合不全存在显著差异。目前针对MVPI病理机制和诊断标准尚存争议，在手术与非手术治疗方式选择问题上循证依据有限，治疗模式也缺乏相应的公认标准。本文基于对相关文献的系统梳理，明确目前对MVPI诊疗认识不足的具体问题，为进一步探索更加规范合理的MVPI干预模式提供指引。

Abstract

Marginal velopharngeal inadequacy (MVPI) is a particular state of postoperative velopharyngeal function after cleft-palate repair. Patients with MVPI demonstrate a unique pattern in velopharyngeal closure and speech performance compared with more evident velopharyngeal insufficiency. Currently, researchers disagree over the pathological mechanism and diagnositic criteria for MVPI. Evidence suggesting the selection of surgical or nonsurgical intervention to MVPI is scarce, and no standard MVPI management protocol is available. By summarizing literature relevant to MVPI management, this review aims to identify aspects of MVPI requiring further investigation and to provide guidance to the exploration of rational evidence-based MVPI management protocol.

关键词

腭裂 / 腭咽闭合不全 / 语音训练 / 手术

Key words

cleft palate / velopharyngeal incompetence / speech therapy / surgery

Author summay

毛奇蓉，硕士，Email：[e-mail]