摘要
目的 探讨不同的手术方法对喉部良性病变术后发声功能及嗓音质量的疗效。方法 1997～ 2 0 0 2年东南大学附属中大医院耳鼻咽喉科应用喉显微外科技术治疗喉部各种良性病变 (声带小结、声带息肉、声带囊肿、Reinke水肿等 ) ,分别采用咬除、切除、显微黏膜瓣法切除病变 ;对其中的 60例声带息肉患者行前瞻性研究 ,将其随机分为 3组 ,分别采取 3种不同术式 ,于术前、术后 1周、术后 1个月进行喉镜检查及嗓音声学参数检测频率微扰 (jitter ,正常 <0 .5 % )、振幅微扰 (shimmer ,正常 <3 % )和标准化噪声能量 (normalizednoiseenergy ,NNE ,正常 <-10dB) 3种声学参数分析。结果 术后 1个月纤维喉镜检查及频率微扰、振幅微扰和NNE 3种声学参数检测分析显示 ,显微黏膜瓣法组嗓音恢复优于咬除法组和切除法组。结论 喉显微外科技术是治疗喉部良性病变并且能最大限度保留声带发声功能的重要手术方法 。
Objective To find a way of reserving nomal high quality phonatory function after vocal cord surgery. Methods Various benign lesions (vocal nodules,polyp of vocal cord, cyst of vocal cord, etc.) were treated with minimal excision, lateral microflap and medical microflap to achieve minimal invasion. Sixty cases with polyp of vocal cord were randomly divided into three groups and treated with three various surgical methods. All cases have been subjected to preoperative and postoperative voice recording,acoustic analysis, videolaryngoscopy and strobscopy. Result The result of strobscopy and acoustic of microflap group was the best in three groups. Conclusion The phonomicrosurgery may cure vocal diseases and reserve good voice function,especially in the group of microflap.
出处
《现代医学》
2004年第4期214-216,共3页
Modern Medical Journal
基金
江苏省教育厅科技基金资助项目 (JH0 2 1 32 )
关键词
喉显微外科技术
喉疾病
声带
嗓音分析
phonomicrosurgery techniques
laryngeal diseases
vocal cords
voice analysis
