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评价Sulcus Vocalis或声痕的干预措施:系统性审查和元分析
Ali Almothahbi1, Manal Bukhari1, Mohammed Almohizea1
1Otolaryngolgy Department, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
Journal of voice : official journal of the Voice Foundation
|January 9, 2024
概括
这项元分析发现,激光退化和光板自身 (LP) 再生/痕退化对声带硫最有效,改善了声学和空气动力学参数. 移植插入也显示在声效和感知结果方面有显著的好处.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和听力科学 语言和听力科学
- 再生医学是一种再生医学.
背景情况:
- 声 (Sulcus vocalis) 涉及声带自身膜 (LP) 损伤,目前没有黄金标准治疗.
- 存在各种干预措施,但它们的比较有效性尚未得到充分证实.
研究的目的:
- 共同评估不同干预措施对声或声伤痕的有效性.
- 根据可用的文献,提供对治疗结果的比较分析.
主要方法:
- 系统性审查和单臂元分析,包括1302名患者参与的43项研究.
- 数据提取并将连续结果作为 95% 置信区间 (CI) 的平均变化 (MC) 组合起来.
- 对声学,空气动力学,内镜和感知参数的评估.
主要成果:
- 激光退化和LP再生/痕退化显示在动中得到的改善最高 (MC -0.897, -0.893).
- 移植插入和LP再生/痕退化改善了平均发声时间 (MPT) (MC 4.214,3.467) 和语音障碍指数 (VHI) (MC -27.195, -19.269).
- 媒介化和移植间接显示出粘膜波的高度改善 (MC 10.40,10.18).
结论:
- 激光退化和LP再生/痕退化对于改善声学参数是有效的.
- 移植插入和LP再生/痕退化增强声乐效率和感知结果.
- 媒介化和移植插座显著改善了粘膜的波动功能.
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