性别不安者嗓音变调手术相关喉结构的超声测量

发布时间：2018-06-21 12:56

本文选题：性别不安者 + 超声　；参考：《听力学及言语疾病杂志》2017年04期

【摘要】：目的评估超声(ultrasonography)在性别不安者(gender dysphoria)嗓音变调手术前后喉结构测量方面的应用价值。方法选取2016年8月至2017年4月就诊于首都医科大学附属北京友谊医院有改变音调意愿的性别不安者(男变女,male to female,MtF)5例,4例行支撑喉镜下声带截短术(wendler glottoplasty)(其中1例同时行喉结成形术),1例行环甲接近术(cricothyroid approximation,CTA);所有患者术前、术后应用超声测量声带长度及环甲间隙距离,并于术后一个月测试嗓音基频(F0)。结果超声影像显示患者的喉结构及测量标志清晰,除1例同时行喉结成形术的患者术后未行超声检查外,余3例行声带截短术的MtF患者术前与术后超声测量声带长度差值(即声带截短长度)分别为0.37 cm(21%)、0.69 cm(37%)、0.40 cm(25%)。行环甲接近术的MtF患者术前超声测量环甲间隙距离为1.0 cm,术后为-0.33 cm,环状软骨上移1.33 cm,而术前和术后CT测量环甲间隙分别为0.91和-0.30 cm,环状软骨上移1.2 cm,可见超声测量与CT测量结果基本一致。除1例外,其余4例患者术后1个月嗓音F0均较术前明显升高。结论喉结构超声测量可为性别不安者嗓音变调手术提供客观喉部测量数据,对术前与术后评估有重要应用价值。
[Abstract]:Objective to evaluate the value of ultrasound (ultrasonography) in the measurement of laryngeal structure before and after the voice variant of gender dysphoria (gender dysphoria). Methods 5 cases of sexual unease (male to female, male to female, MtF) were selected from August 2016 to April 2017 in Beijing Friendship Hospital affiliated to Capital Medical University. The vocal cord truncation (Wendler glottoplasty) under the support laryngoscope (of which 1 cases were performed simultaneously with laryngoplasty) and 1 cases of ring nail approach (cricothyroid approximation, CTA); all patients were used to measure the length of the vocal cords and the distance of the ring nail clearance before operation, and the voice base frequency (F0) was tested one month after the operation. The results of ultrasonic imaging showed the patients. The structure of the larynx and the measurement marks were clear. In addition to 1 cases who had not performed sonography after larynx plasty, the remaining 3 cases of MtF patients with vocal cord truncation were 0.37 cm (21%), 0.69 cm (37%), 0.40 cm (25%), respectively, before and after the operation of the vocal cords. The distance of the circumferential space was 1 cm, -0.33 cm after operation and 1.33 cm of cricoid cartilage, while 0.91 and -0.30 cm, respectively, before and after operation, and 1.2 cm of the cricoid cartilage, respectively. The ultrasonic measurement was basically consistent with the results of CT measurement. Except 1 exceptions, the voice F0 of the other 4 patients was significantly higher than that before the operation. Conclusion larynx conclusion. Ultrasonic measurement can provide objective larynx measurement data for patients with gender imbalance, and is valuable for preoperative and postoperative evaluation.
【作者单位】：首都医科大学附属北京友谊医院耳鼻咽喉头颈外科;首都医科大学附属北京友谊医院超声科;
【分类号】：R749;R767.91

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