内侧微瓣技术治疗声带良性病变手术前后嗓音主客观分析

发布时间：2018-03-28 15:52

本文选题：发音障碍　切入点：言语发音试验　出处：《中国耳鼻咽喉头颈外科》2012年06期

【摘要】：目的探讨经支撑喉镜显微镜下内侧微瓣技术治疗声带良性病变的手术疗效及嗓音主客观分析在评价其疗效中的作用。方法对34例声带息肉、6例声带囊肿共40例患者行显微嗓音手术内侧微瓣技术切除病变,手术前后分别行动态喉镜检查、嗓音声学检测及嗓音障碍指数量表评估。以20例(男、女各10例)嗓音正常成年人作对照组。结果全组病例术后第4周行动态喉镜检查示声带黏膜光滑,活动好,开闭佳,手术前后各嗓音声学参数及嗓音障碍指数量表评分变化均有统计学意义(P0.05),声学参数与嗓音障碍指数评分之间无明显相关性。结论内侧微瓣技术治疗局限声带内侧的良性病变具有安全、切除病变精确彻底、创伤小等优点,疗效满意,符合微创和功能外科的发展趋势;嗓音声学检测、动态喉镜检查及患者自我评估三者相结合可对手术疗效起到综合评估作用。
[Abstract]:Objective to investigate the surgical effect of medial microflap technique under supporting laryngoscope in the treatment of benign vocal cord lesions and to evaluate the effect of subjective and objective analysis of voice. Methods 34 cases of vocal cord polyp and 6 cases of vocal cord cyst were treated with 40 cases of vocal cord cyst. Patients underwent microphonic surgery with medial microflap technique. Dynamic laryngoscopy, acoustic voice test and voice disorder index scale were performed before and after operation. Results the dynamic laryngoscopy showed smooth vocal tract, good activity and good opening and closing at the 4th week after operation. There was no significant correlation between the acoustic parameters and the voice disturbance index score before and after operation. Conclusion the medial microflap technique is used to treat the medial vocal cord. Is safe for benign lesions, The advantages of excision, such as precise and complete lesion, small trauma, satisfactory curative effect, accord with the development trend of minimally invasive and functional surgery, the combination of voice acoustic examination, dynamic laryngoscope and patient self-evaluation can play a comprehensive role in evaluating the curative effect of surgery.
【作者单位】：苏州大学第四附属医院耳鼻咽喉头颈外科;
【分类号】：R767.92

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