显微缝合技术治疗声带任克水肿患者的嗓音评估  

Voice assessment on patients with Reinke's edema of vocal fold by application of micro-suture techniques

作　　者：刘健慧[1,2] 马丽晶[2] 张平[2] 王军[2] 

机构地区：[1]北京市耳鼻咽喉科研究所北京,100005 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室首都医科大学

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第3期191-194,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金资助项目(No:81170900)

摘　　要：目的:采用嗓音主客观评估方法对手术中应用显微缝合技术治疗声带任克水肿的患者进行嗓音评估。方法:选择经手术治疗的20例声带任克水肿患者,均采用全身麻醉支撑喉镜显微镜下外侧微瓣技术切除病变,保留声带表面部分的正常黏膜,应用显微缝合技术将黏膜对位间断缝合。对所有患者分别进行术前和术后2周、3个月、6个月的嗓音评估,嗓音评估的结果与20例(男性)正常嗓音对照,评估采用显微缝合技术的声带愈合时间和嗓音恢复程度。结果:术后2周时双声带充血,声带振动幅度及黏膜波轻度减低,患者嗓音质量与术前相比明显改善(P<0.05);术后3个月时声带形态基本恢复正常,声带振动幅度及黏膜波正常,患者嗓音质量与术前相比明显改善(P<0.05),与正常对照组比较差异无统计学意义(P>0.05);术后6个月时,嗓音质量保持稳定,与术后3个月比较无明显差异(P>0.05)。结论:采用显微缝合技术治疗声带任克水肿,术后恢复时间短,术后3个月时嗓音质量基本恢复正常。Objective：To evaluate the vocal quality of patients with Reinkers edema before and after the endola- ryngeal phonosurgery combined with micro-suture techniques. Method： Twenty male patients with bilateral Reinkers edema were submitted to surgery. All patients received the endolaryngeal phonosurgery combined with micro-suture techniques on vocal fold and completed voice evaluation preoperative and postoperative 2 weeks, 3 months and 6 months. Acoustic voice parameters were compared with the control group without voice pathology. Result：The result showed that at postoperative 2 weeks, compared with the preoperative evaluation the patients＇ subjective sound quality improved obviously. Acoustic voice parameters improved significantly （P〈0. 05）. At postoperative 3 months, vocal form kept well, vocal cord vibration amplitude and mucous wave seemed normal. Acoustic voice parameters had no statistical difference compared with the control group and tended to reach normal values（P〈0.05）. At postoperative 6 months, voice quality still remain stable, all of the analyzed parameters had no obvious difference. Conclusion： The phonosurgery combined with micro-suture techniques treat on the Reinke^s edema, vocal cord postoperative recovery time is short, the sound Quality receive basic recovery after 3 months.

关 键 词：嗓音评估 声带 任克水肿 显微缝合 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]