影响Blom-Singer发音管发声质量的原因分析  

Factors affecting pronunciation quality of the Blom-Singer pronunciation tube

作　　者：朱肇峰[1] 王跃建[1] 梁玉颜[1] 陈伟雄[1] 

机构地区：[1]佛山市第一人民医院耳鼻咽喉-头颈外科,广东佛山528000

出　　处：《山东大学耳鼻喉眼学报》2009年第3期21-22,24,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的了解影响Blom-Singer发音管发声障碍的各种相关因素。方法回顾性分析1996年4月~2006年10月108例喉全切除术后行Blom-Singer发音管重建喉发声功能患者的临床资料,其中施行Ⅰ期Blom-Singer发声重建术96例,Ⅱ期Blom-Singer发声重建术12例,并对其发声效果进行追踪观察。结果96例行Ⅰ期发音管重建术中,22例发声质量差（22/96,23%）;12例行Ⅱ期发音管重建术中,8例发声质量差（8/12,67%）。两种术式的总失败率为（30/108,28%）。结论Ⅰ期Blom-Singer发声重建术较Ⅱ期Blom-Singer发声重建术成功率高。术后发声质量的效果与环咽肌的处理、气管食管壁的完整性、气管造瘘口的大小、咽瘘、食管下咽腔狭窄及肺功能等因素密切相关。Objective To explore relative factors affecting dysphonia of the Blom-Singer pronunciation tube. Methods The clinical data of 108 patients who had undergone Biota-Singer voice producing reconstruction following total laryngectomy were retrospectively analyzed. 96 cases received stage Ⅰ Biota-Singer voice producing reconstruction, and the other 12 cases underwent stage Ⅱ Blom-Singer voice producing reconstruction. Results 22 of 96 cases who had undergone stage Ⅰ Biota-Singer voice producing reconstruction had less effective phonation（22/96, 23% ）, and 8 of 12 cases who had undergone stage n Biota-Singer voice producing reconstruction did not get the expected voice（8/12, 67% ）, and the total failure rate of the two operative methods was 28%. Conclusion The successful rate of stage Ⅰ Blom-Singer voice producing reconstruction was higher than that of the stage Ⅱ Blom-Singer voice producing reconstruction. Effect of voicing quality after the operations was closely related to following factors, such as treatments to the cricopharyngeal muscle, integrity of the tracheo-esophagus wall, size of the trachea stoma, pharyngeal fistula, stenosis of the esophagus hype-pharyngeal cavity and pulmonary function of patients.

关 键 词：喉全切除术 发音管 治疗结果 

分 类 号：R767.64[医药卫生—耳鼻咽喉科]