嗓音障碍指数对声带囊肿患者术后嗓音的自我评估  

Self-Assessment of Postoperative Voice with Voice Handicap Index in Patients with Vocal Fold Cysts

作　　者：程贤宁 刘庆伟[1] 陈奇志[1] 陈朱井 

机构地区：[1]句容市人民医院耳鼻咽喉科,江苏句容212400

出　　处：《实用临床医学（江西）》2015年第8期75-76,81,共3页Practical Clinical Medicine

摘　　要：目的探讨嗓音障碍指数(voicehandicap index,VHI)用于支撑显微喉镜和纤维喉镜治疗声带囊肿后嗓音恢复的评估,并验证VHI的实用性。方法选取确诊为声带囊肿并接受手术切除的患者60例,其中在支撑显微喉镜下治疗30例(显微镜组),在纤维喉镜下治疗30例(纤维镜组),2组患者采用VHI量表对手术前后的嗓音恢复进行自我评估,内容包括功能(F)、生理(P)、情感(E)及总分(TVH)评分。结果术后1周,2组F、E、TVH评分均较术前明显降低(P<0.05);术后1个月,2组F、P、E、TVH评分均较术前明显降低(P<0.05),纤维镜组F、P、TVH评分高于显微镜组(P<0.05)。结论 VHI可主观反映患者的嗓音障碍程度,可用于治疗前对嗓音障碍程度的估计,治疗后效果评价。Objective To evaluate the postoperative voice recovery with voice handicap index（VHI）in patients undergoing surgery under suspension micro-laryngoscope and fiber laryngoscope for vocal fold cysts,and to verify the practicability of VHI.Methods Sixty patients with vocal fold cysts were treated with surgical resection under suspension micro-laryngoscope（microscope group,n=30）or fiber laryngoscope（fiberscope group,n=30）.The postoperative voice recovery was self-assessed by using VHI scale,including functional（F）,physiological（P）,emotional（E）and total（TVH）scores.Results The F,E and TVH scores significantly decreased in both groups 1week after operation（P〈0.05）.The F,P,E and TVH scores significantly decreased in both groups 1month after operation（P〈0.05）.Compared with microscope group,the F,P and TVH scores significantly increased in fiberscope group（P〈0.05）.Conclusion The VHI can subjectively reflect the degree of voice disorders in patients with vocal fold cysts.Therefore,it can be used for preoperative assessment of the degree of voice disorders and postoperative evaluation of the therapeutic efficacy.

关 键 词：声带囊肿 嗓音障碍指数 自我评估 支撑显微喉镜 纤维喉镜 

分 类 号：R767.9[医药卫生—耳鼻咽喉科]