鼻内镜手术对鼻音及鼻腔通气程度的影响  

The effects of endoscopic sinus surgery on nasality and nasal patency

作　　者：乐建新[1] 孔维佳[1] 檀慧芳[1] 熊新高 张小萌[1] 王彦君[1] 张松[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2006年第20期917-918,921,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:通过对内镜鼻窦手术(ESS)前后鼻音及鼻腔阻力的客观检测,探讨ESS后鼻腔鼻窦共鸣特性的改变及鼻腔阻力的变化特点。方法:对资料记录完整的68例成人鼻息肉鼻窦炎患者,ESS前后使用鼻声图仪和鼻压计分别对鼻音和鼻阻力进行检测。结果:Ⅲ型和Ⅱ型2期、3期患者术后1个月鼻音均明显改善(均P<0.05),但仍低于正常值;术后3个月,Ⅱ型2期、3期鼻音达正常值下限,Ⅲ型仍未恢复正常;而总鼻阻力在术后1个月明显下降(P<0.01),术后3个月恢复正常。Ⅱ型1期患者术后1个月鼻音和总鼻阻力即恢复正常,其值与术前比较,差异无统计学意义(P>0.05)。结论:对于严重的鼻窦或(和)鼻腔病变的患者ESS术后1个月总鼻阻力明显改善,接近正常范围,而鼻音在较长一段时间里仍表现异常。提示ESS术后不能立即改善鼻音状况,相反过多破坏鼻腔、鼻窦正常结构,使鼻腔、鼻窦的共鸣特性发生改变,这对从事语音工作(如播音员、外语及语言老师等)的人可能有较大影响。Objective:The purpose of this study was to describe the changes of resonance characteristics of the nasal cavity (including nasal sinuses) and nasal airway resistance (NAR) after endoscopic sinus surgery (ESS), through objective measurement of nasality and NAR before and after ESS.Method:Sixty-eight patients received the examinations of nasality and NAR using Nasometer and Atmos Rhinomanometer before and after ESS separately.Result:The nasality of patients with type Ⅲ and type Ⅱ stage2, stage3 chronic sinus...

关 键 词：内镜术 鼻音 鼻阻力 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]