甲状腺肌肉分裂对甲状腺手术后患者报告的语音结果的影响:一项前性研究
Christine Barron1, Alex Hamberis1, Brandon Gold1
1Department of Otolaryngology-Head and Neck Surgery, The Icahn School of Medicine at Mount Sinai/New York Eye and Ear Infirmary, New York, New York, USA.
概括
在甲状腺切除术期间分裂甲状腺骨肌肉不会对语音结果产生负面影响. 这种手术方法是安全有效的,可以改善甲状腺暴露和神经识别.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 甲状腺手术 甲状腺手术
背景情况:
- 甲状腺切除术期间的甲状腺肌肉分裂增加了外科手术的暴露.
- 这种肌肉分裂对患者语音结果的影响尚未得到充分证实.
研究的目的:
- 为了评估甲状腺肌肉分裂对患者在甲状腺切除术后感知声音结果的影响.
主要方法:
- 对109名接受甲状腺切除术的患者进行前性队列研究.
- 语音障碍指数-10 (VHI-10) 的得分在术前和术后进行了比较.
- 在手术期间的神经监测和术后的喉腔镜评估了神经完整性.
主要成果:
- 在术前和术后评估之间没有观察到VHI-10得分的统计学上显著差异 (p=0.87).
- 在单边或双边的甲状腺下,没有发现明显的声音结果差异.
- 男人报告了手术后语音分数的统计学上显著改善.
结论:
- 胸甲状腺肌肉的手术内分裂不会对语音结果产生不利影响.
- 这种技术是一种安全的补充,可以改善甲状腺切除术期间的手术暴露.
- 研究结果支持在甲状腺手术中继续使用甲状腺骨肌分裂.
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