喉全切术后低阻力型Groningen假体发音失败原因及处理  

Clinical Analysis and Management of the patients with failure Groningen Valve Voice Prosthesis

作　　者：刘吉祥[1] 焦新立[1] 潘静[1] 杨春伟[1] 王林[1] 

机构地区：[1]天津市人民医院耳鼻咽喉头颈外科,300121

出　　处：《中国中西医结合耳鼻咽喉科杂志》2010年第4期212-213,229,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨喉癌喉全切除术后安装低阻力型Groningen假体发音失败原因及有效的处理方法。方法 2003～2008年共进行全喉切除安装低阻力型Groningen假体115例,106例成功,9例失败,对失败病例进行临床及空气动力学分析。结果咽、食管括约肌严重痉挛,造瘘口狭窄,手不能灵活堵塞造瘘口是发音失败的主要原因,经过处理能够基本达到发音和交流的目的。结论低阻力型Groningen假体发音成功率较高,对失败病例如能采取适当措施,仍然可以达到发音目的。Objective To study the reasons and management of patients with failure Groningen Valve Voice Prosthesis. Methods 115 cases of laryngectomees implanted with Groningen Voice Prosthesis participated in this study from 2003 to 2008, which 106 cases were cured and 9 were failed. The failure cases were analyzed for failure factors with airflow-dynamics. Results Spasm, hypertonicity of PE, severe narrow of stoma and not completely closed stoma with hands were mainly factors led to failure. The failure patients were cured by sphincterotomy, stomaplsty and esophageal voice training. Conclusions Groningen button provides a highly acceptable means of obtaining vocalization after total laryngectomy. Sphincterotomy, stomaplsty and esophageal voice training may be used to the failure patients of Groningen valve voice prosthesis.

关 键 词：假体和植入物 喉切除术 言语 无喉 康复 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]