甲状腺手术后患者感知到的消化不良和声音变化:一个电话问卷
Andrew Mowat1, Pardip Sandhar1, Jacqueline Chan1
1Otolaryngology, Heartlands Hospital, Bordesley Green, Birmingham, UK.
The Journal of laryngology and otology
|December 7, 2023
概括
甲状腺手术会导致吞困难 (消化不良) 和声音变化,即使没有神经损伤. 这些声音和吞问题在甲状腺手术后比副甲状腺手术更常见.
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
- 语音和语言病理学 语言病理学
背景情况:
- 甲状腺切除术和副甲状腺切除术是常见的手术程序.
- 重复性喉神经麻是已知的并发症,但主观功能缺陷,如食障碍和语音变化是不太了解的,特别是在它的缺席.
研究的目的:
- 分析在甲状腺切除术和副甲状腺切除术后的患者中主观经历的消化不良和语音变化的发生率.
- 为了比较甲状腺手术患者和对照人群之间的这些症状的频率,即使没有明显的神经损伤.
主要方法:
- 通过使用失调障碍指数 (DHI) 和语音障碍指数 (VHI) 的电话问卷进行了管理.
- 邀请了400名患者,其中254名患者获得了反应 (127名甲状腺/副甲状腺手术后患者,127名对照患者) 手术后6-24个月.
主要成果:
- 22%的甲状腺切除术后患者报告了语音障碍 (VHI > 3),而副甲状腺患者的15%和对照组的4%相比.
- 与对照组 (1.0) 相比,甲状腺切除术 (2.0) 和副甲状腺切除术 (1.3) 组的平均DHI得分较高.
- 在甲状腺手术患者中,缺食症和声音变化比副甲状腺手术患者更频繁.
结论:
- 主观消化不良和声音变化是甲状腺手术的常见后果,不论是复发的喉神经麻.
- 这些功能缺陷在甲状腺手术后比甲状腺手术更频繁地发生.
- 这些发现突显出需要在甲状腺切除术后评估语音和吞功能.
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