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一项前性比较分析,研究内镜甲状腺切除术后对声音变化的影响
Arun Kumar1, Anita Dhar1, Anurag Srivastava1
1Department of Surgical Disciplines.
概括
内镜甲状腺切除术技术,口腔内镜甲状腺切除术前体方法 (TOETVA) 和双侧胸方法 (BABA) 显示了可比的声带功能和手术后的语音质量. 这两种方法对于甲状腺切除术都是安全有效的.
科学领域:
- 内分泌学 在内分泌学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
背景情况:
- 内镜甲状腺切除术提供了美容方面的好处,但也引起了人们对声带功能的担忧.
- 跨口腔内镜甲状腺切除术前体方法 (TOETVA) 和双侧胸方法 (BABA) 是两种内镜技术.
- 评估声带功能对于评估内镜甲状腺切除术安全性至关重要.
研究的目的:
- 为了比较TOETVA和BABA内镜半甲状腺切除术后的声带功能.
- 评估接受这些手术的患者的主观和客观语音参数.
- 为了确定内镜甲状腺切除术关于语音结果的安全性和可行性.
主要方法:
- 一项前性研究随机分配了39名患者接受TOETVA (19) 或BABA (20) 的内镜半甲状腺切除术.
- 使用GRBAS尺度和声学分析 (,闪,F0,NHR,MPT) 评估了声带功能.
- 评估是在基线,术后第10天和3个月进行的.
主要成果:
- 在TOETVA和BABA组之间,GRBAS分数或声学参数 (平均频率,动,闪) 没有显著差异.
- 噪声与声比率 (NHR) 和最大发声时间 (MPT) 在第10天呈现过渡性下降,在3个月后恢复到基线,无组间差异.
- 操作参数相似,TOETVA的操作时间较短.
结论:
- 在TOETVA和BABA内镜甲状腺切除术之间,外科手术期间的语音参数是可比的.
- 这两种内镜技术在声带功能方面都显示出类似的安全性.
- 内镜半甲状腺切除术是一种可行的选择,对语音质量的影响最小.
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