透口内镜甲状腺切除术静脉方法 (TOETVA):对声音变化和吞功能障碍的影响
Zongyi Chen1, Youming Guo1, Jinlong Huo1
1Department of Thyroid Surgery, First People's Hospital of Zunyi/Third Affiliated Hospital of Zunyi Medical University, Zunyi.
透口内镜甲状腺切除术前体方法 (TOETVA) 和开放甲状腺手术可能会导致临时的声音和吞问题. 由于子粘附,TOETVA后吞功能的恢复可能会更长时间.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌手术 内分泌手术
- 手术创新 在外科创新.
背景情况:
- 甲状腺切除术是一种常见的外科手术.
- 微创性技术,如横口内镜甲状腺切除术前庭治疗方法 (TOETVA),旨在减少可见痕.
- 对语音和吞功能的潜在影响是手术方法的关键考虑因素.
研究的目的:
- 为了比较横口内镜甲状腺切除术前庭治疗方法 (TOETVA) 与开放甲状腺手术对语音和吞功能的影响.
- 分析与手术后语音质量和消相关的主观和客观结果.
主要方法:
- 对215名接受甲状腺手术的患者的回顾性评估:105名接受TOETVA治疗,110名接受开放治疗.
- 在手术前和后评估语音 (语音障碍指数,GRBAS,基本频率,动,闪,最大发音时间) 和吞功能 (吞障碍得分).
- 在手术后1个月和3个月内,内镜和开放手术组之间的结果比较.
主要成果:
- 1个月和3个月后,TOETVA和开放手术组之间语音质量 (语音障碍指数,GRBAS) 没有显著差异.
- 在手术后1个月和3个月,与开放组相比,在TOETVA组观察到更高的吞障碍发病率 (P<0.05).
- 与手术前值相比,在任何组中,客观语音参数 (,闪,最大发音时间) 都没有显著变化.
结论:
- 无论是TOETVA还是开放性甲状腺手术,都可能导致短暂的语音和吞障碍,通常在3个月内消失.
- 吞功能的恢复似乎在TOETVA后被延长,可能与手术后的部粘附和固定有关.
- 需要进一步研究 TOETVA 后吞功能障碍的管理.
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