甲状腺切除术后潜在的语音评估,没有复发的喉神经损伤
Ivana Šimić Prgomet1, Stjepan Frkanec2, Ika Gugić Radojković2
1Phoniatric Center, Department of ENT and Head and Neck Surgery, University Hospital Center Zagreb, 10000 Zagreb, Croatia.
甲状腺切除术甚至在没有神经损伤的情况下也会导致语音障碍. 整体甲状腺切除术,更长的手术,更大的甲状腺大小和更高的BMI预测了这些声音变化,影响了患者的结果.
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
- 语音语言病理学 语音语言病理学
背景情况:
- 甲状腺切除术是治疗甲状腺疾病的常见手术.
- 手术后的语音变化甚至可以发生在没有重复性喉神经 (RLN) 损伤的情况下.
- 了解这些语音障碍的预测因素对于患者管理至关重要.
研究的目的:
- 在没有RLN损伤的患者中,评估甲状腺切除术后语音障碍的患病率.
- 确定这些术后语音障碍的手术,社会人口统计和生活方式预测因素.
主要方法:
- 这是一项前性单中心研究,涉及243名甲状腺切除术患者.
- 术前和术后的语音评估使用声学分析和视频斯特罗博斯科.
- 统计分析包括后勤回归,奇平方,MANOVA和非参数测试.
主要成果:
- 在243名患者中,有200名 (82.3%) 患有术后语音障碍.
- 整体甲状腺切除术,更长的手术持续时间 (>90分钟),更大的甲状腺体积和更高的BMI与语音障碍有显著联系.
- 强度,动和闪等声学参数在全甲状腺切除术和较高BMI的患者中较差.
结论:
- 手术类型,甲状腺体积,BMI和手术持续时间是甲状腺切除术后术后语音障碍的重要预测因素,即使没有RLN损伤.
- 这些发现可以为手术规划和患者咨询提供信息,以减轻与声音相关的并发症.
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