甲状腺切除术后的声音障碍
Ivana Šimić Prgomet1, Ratko Prstačić2, Renata Curić Radivojević3
1Phoniatric Center, Department of ENT and Head and Neck Surgery, University Clinical Hospital Center Zagreb, Zagreb, Croatia.
Journal of voice : official journal of the Voice Foundation
|April 25, 2025
概括
整体甲状腺切除术 (TT) 患者在手术后的早期经历的语音障碍比分线切除术 (LO) 患者更多,但随着时间的推移,这种差异会减少. 这项研究比较了TT后的语音结果与LO与复发性喉神经保存.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 手术结果研究研究.
背景情况:
- 甲状腺切除术是一种常见的外科手术,它带有复发性喉神经损伤的风险,可能导致语音障碍.
- 在患者辅导和手术决策方面,区分分分泌管切除术 (LO) 和全甲状腺切除术 (TT) 之间的语音结果至关重要.
研究的目的:
- 在甲状腺切除术后的患者中比较主观和客观的语音障碍,特别是比较分管切除术 (LO) 与全甲状腺切除术 (TT) 与复发性喉神经保护.
- 评估这些不同的外科手术方法后,语音质量和声功能的时间演变.
主要方法:
- 一项前性研究,涉及61名接受甲状腺切除术 (31 LO,30 TT) 的患者在三级护理中心.
- 语音评估包括主观评估 (GRBAS尺度),客观声学分析 (,闪) 和生活质量 (语音障碍指数 - VHI) 在四个时间点:手术前,手术后7-10天,3个月和6个月.
主要成果:
- 经过全甲状腺切除术 (TT) 的患者在早期术后期 (第1次测量) 显示出响,粗,喘息的声音和声音紧张的得分明显更高,相比于叶片切除术 (LO) 患者.
- 客观的声学分析显示,LO和TT组之间的动 (手术后3个月) 和闪 (手术后1个和2个时期) 在LO和TT组之间存在统计学上显著的差异,有利于LO组.
- 虽然VHI分数和其他声学参数没有达到统计学意义,但GRBAS和声学发现表明TT后的初始语音影响更为明显.
结论:
- 整体甲状腺切除术 (TT) 与带切除术 (LO) 相比,在早期术后阶段与更显著的主观和客观的语音障碍有关.
- 在两个手术组之间观察到的语音质量的差异在6个月的随访期间往往会减少.
- 重复性喉神经保护是关键,但手术程度 (LO vs TT) 影响了手术后立即的声声恢复和患者报告的语音结果.
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