显微缝合技术治疗声带任克水肿患者的嗓音评估

发布时间：2018-06-14 18:43

本文选题：嗓音评估 + 声带　；参考：《临床耳鼻咽喉头颈外科杂志》2014年03期

【摘要】：目的:采用嗓音主客观评估方法对手术中应用显微缝合技术治疗声带任克水肿的患者进行嗓音评估。方法:选择经手术治疗的20例声带任克水肿患者,均采用全身麻醉支撑喉镜显微镜下外侧微瓣技术切除病变,保留声带表面部分的正常黏膜,应用显微缝合技术将黏膜对位间断缝合。对所有患者分别进行术前和术后2周、3个月、6个月的嗓音评估,嗓音评估的结果与20例(男性)正常嗓音对照,评估采用显微缝合技术的声带愈合时间和嗓音恢复程度。结果:术后2周时双声带充血,声带振动幅度及黏膜波轻度减低,患者嗓音质量与术前相比明显改善(P0.05);术后3个月时声带形态基本恢复正常,声带振动幅度及黏膜波正常,患者嗓音质量与术前相比明显改善(P0.05),与正常对照组比较差异无统计学意义(P0.05);术后6个月时,嗓音质量保持稳定,与术后3个月比较无明显差异(P0.05)。结论:采用显微缝合技术治疗声带任克水肿,术后恢复时间短,术后3个月时嗓音质量基本恢复正常。
[Abstract]:Objective: to evaluate the voice of patients with vocal cord edema treated by microsuture by subjective and objective voice evaluation. Methods: twenty patients with vocal cord edema were treated by general anesthesia and laryngoscope with lateral microflap technique to preserve the normal mucous membrane on the surface of vocal cord. The discontinuous suture of mucous membrane was performed by microsuture. All patients were evaluated before and 2 weeks, 3 months and 6 months after operation. The results of voice evaluation were compared with 20 cases of normal voice (male). The time of vocal cord healing and the degree of voice recovery were evaluated by microsuture technique. Results: at 2 weeks after operation, the vocal cords were hyperemia, the amplitude of vocal cord vibration and mucosal wave were slightly decreased, and the voice quality of the patients was significantly improved compared with that before operation (P 0.05), the shape of vocal cords returned to normal, the amplitude of vocal cord vibration and mucosal wave were normal at 3 months after operation. The voice quality of the patients was significantly improved than that of the patients before operation. There was no significant difference between the patients and the normal control group (P 0.05), but the voice quality remained stable at 6 months after operation and had no significant difference compared with the 3 months after operation (P 0.05). Conclusion: the technique of microsuture is used to treat the edema of vocal cord. The recovery time is short and the quality of voice is normal 3 months after operation.
【作者单位】：北京市耳鼻咽喉科研究所;首都医科大学附属北京同仁医院耳鼻咽喉头颈外科
【基金】：国家自然科学基金资助项目(No:81170900)
【分类号】：R767.4

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