在甲状腺切除术患者的语音质量因素分析
1Department of General Surgery, Mugla Training and Research Hospital, Mugla, Turkey. ser274@hotmail.com.
European review for medical and pharmacological sciences
|April 19, 2024
概括
甲状腺切除术患者可以从手术前后的语音评估中受益. 术内神经生理监测 (IONM) 可能会提高语音质量结果,尽管客观测量显示没有显著变化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术并发症 手术并发症
- 声音科学 声音科学
背景情况:
- 声带 (VCP) 是甲状腺切除术后的一个重大风险.
- 甲状腺切除术后的VCP当前的管理策略需要进一步澄清.
- 在手术中使用神经生理学监测 (IONM),但其对语音结果的影响尚未完全理解.
研究的目的:
- 在接受IONM甲状腺切除术的患者中评估语音参数.
- 评估客观/主观语音测量和IONM发现之间的关系.
- 为了确定IONM在预防或减轻甲状腺切除术后语音功能障碍的疗效.
主要方法:
- 研究了一组52名接受全甲状腺切除术的患者 (41名女性,11名男性).
- 术前和术后的语音分析包括声学 (F0,Shimmer,Jitter,NHR) 和空气动力学 (S/Z比,MPT) 参数.
- 主观评估使用了语音障碍指数 (VHI-10) 和语音相关生活质量 (V-RQOL) 尺度.
主要成果:
- 客观语音参数显示,手术前后评估之间没有统计学上显著的差异 (p>0.05).
- 主观语音评估 (VHI-10,V-RQOL) 显示了手术后的显著变化 (p<0.05).
- 手术后的NHR和F0与IONM测量的幅度差异相关,在右回复性喉神经 (RLN) 中.
结论:
- 建议在甲状腺切除术前和之后对患者进行例行语音评估.
- 在甲状腺切除术患者中,IONM显示出改善语音质量结果的潜力.
- 甲状腺切除术显著影响主观语音质量,突出显示需要监测和干预.
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