[对102例儿科声结节的临床分析]
Yihua Ni1, Wenxia Chen1, Zhengmin Xu1
1Department of Otorhinolaryngology Head and Neck Surgery,Children's Hospital of Fudan University,Shanghai,201102,China.
概括
声结节对儿童的生活质量产生重大影响,特别是在学龄儿童中. 与语音卫生教育相比,喉微手术在与声音有关的生活质量方面提供了更有效的改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科语音障碍 儿科语音障碍
- 生活质量研究 研究 生命质量研究
背景情况:
- 声结节是影响儿童声音的良性生长.
- 这些结节会对孩子的生活质量产生负面影响.
- 了解治疗疗效对于儿科语音护理至关重要.
研究的目的:
- 评估声结块对儿科生活质量的影响.
- 为了比较保守管理与喉微手术的有效性.
- 为了确定影响和治疗结果的年龄相关差异.
主要方法:
- 对102名患有声结节的儿童进行了回顾性研究 (2020年1月 - 2022年12月).
- 患者按治疗 (保守与微手术) 和年龄 (学龄前与学龄) 分类.
- 用于评估的儿科语音相关生活质量 (pVRQOL) 问卷.
主要成果:
- 较高级的声结结与较低的pVRQOL分数相关 (P<0.001).
- 学龄儿童报告的pVRQOL分数明显低于学龄前儿童 (P=0.042).
- 保守管理 (P=0.046) 和微手术都改善了pVRQOL;微手术显示出更大的改善.
结论:
- 语音结的严重程度和年龄 (学龄) 显著影响生活质量.
- 语音卫生教育可以改善生活质量,特别是在学龄儿童中.
- 喉微手术在提高儿科语音相关生活质量方面表现出卓越的疗效.
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