甲状腺切除术后进行长期语音功能和声评估的穿皮喉超声波:一项前性研究
Dan Gao1, Li Yang1, Yuling Duan1
1Breast and Thyroid Disease Center, The First People's Hospital of Zunyi (The Third Affiliated Hospital of Zunyi Medical University), Zunyi, China.
Acta oto-laryngologica
|April 16, 2025
概括
通过皮肤进行喉超声波 (TLUSG),在甲状腺切除术后有效诊断声麻. 这种非侵入性方法与喉腔镜检查具有很高的一致性,为评估声带恢复提供了切实可行的替代方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
- 神经外科 神经外科
背景情况:
- 声麻 (VFP) 是甲状腺切除术后的一个常见并发症,影响了语音质量.
- 传统的VFP诊断喉镜可能是侵入性的,可能无法捕捉动态的声带功能.
- 透皮喉超声波 (TLUSG) 提供了一个非侵入性的实时成像替代方案.
研究的目的:
- 评估在甲状腺切除术后出现语音障碍的患者的声带 (VF) 恢复过程.
- 在长期随访期间确定TLUSG对VFP的诊断意义.
- 为了将TLUSG的发现与喉腔镜检查和语音障碍指数 (VHI) 的得分进行比较.
主要方法:
- 57名患有甲状腺切除术后语音损伤的患者被纳入.
- 手术后连续记录了声图像特征和VHI分数.
- 进行喉腔镜检查以进行比较分析.
主要成果:
- 在75.4%的患者中,通过VHI和71.9%的TLUSG观察到语音功能恢复.
- 随着时间的推移,TLUSG的诊断准确度越来越高 (77.8%至88.9%).
- TLUSG显示与喉腔镜检查 (κ=0.679) 的高一致性以及医生间的一致性.
结论:
- 甲状腺切除术后的TLUSG是诊断VFP后的有价值和有效的工具.
- 它作为一种可靠的,非侵入性替代品,用于监测声带恢复的喉腔镜.
- 该研究强调了TLUSG在语音障碍的长期随访中的实用性.
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