性别确认女性化语音手术:手术前评估的范围审查
Jadin Chahade1, Hedieh Keshavars1, Janice Y Kung2
1Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta, Edmonton, Alberta, Canada.
The Laryngoscope
|January 14, 2026
概括
外科医生在进行语音女性化手术时使用不同的术前标准. 研究中不一致地报告了语音训练和心理评估等关键因素.
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
- 确认性别的护理
背景情况:
- 语音女性化手术 (VFS) 是对变性女性个体进行性别肯定护理的关键组成部分.
- 标准化手术前评估对于优化手术结果和患者满意度至关重要.
研究的目的:
- 系统地审查和识别外科医生用于评估接受VFS的转女性患者的手术前评估和标准.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PsycINFO,Cochrane,CINAHL,PubMed) 进行了全面的电子文献搜索,截至2025年2月11日.
- 包括报告对接受VFS的成年转女性患者的评估和手术标准的研究,遵守PICOTS和PRISMA-ScR指南.
- 数据提取的重点是临床标准,包括语音训练,声学/感知参数,患者报告的结果以及医疗/精神病学评估.
主要成果:
- 该审查包括42项研究,主要是回顾性病例系列 (2000-2025年),患者人数从1到506人.
- 通常评估的声学参数包括基本频率. 使用了像GRBAS和CAPE-V这样的感知工具,以及语音语言病理学家的判断.
- 患者报告的结果 (语音障碍指数,变性女性语音问卷),内镜评估和CT成像经常被报告.
结论:
- 在已发表的研究中,用于VFS的术前标准存在显著的变化.
- 值得注意的是,对先前的语音培训和心理评估等基本因素缺乏一致的报告,这突显了对标准化的需要.
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