在口腔腔癌中自我报告的语音结果
Hannah Baratz1, Elisabeth Renkert2, Yan Li3
1Department of Otolaryngology, Head-Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Head & neck
|January 14, 2026
概括
经过手术治疗的口腔癌患者经历了显著的语言和心理社会障碍. 自由重建进一步加剧了这些缺陷,突出了需要语音治疗的必要性.
科学领域:
- 在瘤学瘤学.
- 语音语言病理学 语言病理学
- 生活质量研究 研究 生命质量研究
背景情况:
- 口腔癌 (OCC) 显著影响患者的功能状态和生活质量.
- 语音障碍是OCC患者的常见问题,但他们的观点未得到充分研究.
- 这项研究调查了与健康对照组相比,手术治疗的OCC患者的自我感知语音功能.
研究的目的:
- 用言语障碍指数 (SHI) 来比较经过手术治疗的口腔癌患者与健康对照者的自我报告语音功能.
- 确定与口腔癌患者发言障碍得分较差相关的因素.
- 评估手术重建,特别是自由重建对语音结果的影响.
主要方法:
- 一项涉及口腔癌患者和健康对照者的多机构,横截面研究.
- 参与者完成了语音障碍指数 (SHI) 和自我评价的语音质量.
- 收集了人口统计,瘤和治疗数据;使用t测试,奇平方和费舍尔精确测试分析了群体差异.
主要成果:
- 与对照组相比,口腔癌患者报告说话障碍得分明显高 (平均为50.2比34.7) 和自我评价语音质量较差 (47.8%比85.6%好/优秀).
- 在OCC群体中,SHI的言语和心理社会领域都明显恶化.
- 自由重建与更糟糕的SHI分数和自我评价的语音质量有关.
结论:
- 经过手术治疗的口腔癌患者在自我感知语言和心理社会功能方面经历了显著的缺陷.
- 自由重建与这个人群中更大的言语障碍有关.
- 尽管存在缺陷,但近一半的OCC患者表示满意,这强调了需要早期的多学科康复,包括语音治疗,特别是自由后片重建.
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