侵及前联合声门型喉癌患者喉部分切除术后嗓音主客观评估  

Subjective and Objective Evaluation of Voice in Glottic Carcinoma Patients with the Anterior Commissure Invasion after Partial Laryngectomy

作　　者：王延林 刘德刚 周志勇 车娟[1] 王延飞[1] Wang Yanlin;Liu Degang;Zhou Zhiyong;Che Juan;Wang Yanfei(Department of Otolaryngology-Head and Neck Surgery,Binzhou Medical University Hospital,Binzhou,256603,China;不详)

机构地区：[1]滨州医学院附属医院耳鼻咽喉头颈外科,滨州256603 [2]惠民县人民医院耳鼻咽喉头颈外科

出　　处：《听力学及言语疾病杂志》2021年第6期627-630,共4页Journal of Audiology and Speech Pathology

摘　　要：目的探讨侵及前联合的声门型喉癌患者不同术式喉部分切除术后的发声功能。方法对20例接受环舌会厌吻合术(cricohyoidoepiglottopexy,CHEP)、22例接受喉垂直部分切除术(vertical Partial Laryngectomy,VPL)的侵及前联合的声门型喉癌患者于术后一年时及20例健康对照者进行嗓音主观听感知评估(G分级)和嗓音声学分析,记录基频(F0)、基频微扰(jitter)、振幅微扰(shimmer),标准化噪声能量(NNE),谐噪比(HNR)及最长发声时间(MPT),比较各组结果。结果主观评估结果显示,CHEP组和VPL组术后,G分级分别为2.67±0.49、2.50±0.59级,明显高于对照组(0.30±0.48级)(P<0.05);VPL组术后嗓音略优于CHEP组,但两组之间G分级差异无统计学意义(P>0.05)。CHEP组和VPL组术后嗓音声学分析各指标均较对照组差,差异均有统计学意义(P<0.05);VPL组MPT(9.78±4.89 s)明显较CHEP组(6.49±2.44 s)延长(P<0.05),两组之间其余声学指标差异无统计学意义(P<0.05)。结论侵及前联合的声门型喉癌患者行环舌会厌吻合术或喉垂直部分切除术后发声功能无明显差异。Objective To investigate the voice assessment results in glottic carcinoma patients with the anterior commissure invasion after partial laryngectomy.Methods subjective and objective analysis was performed at one year after the operation in 20 patients who received cricohyoidoepiglottopexy(CHEP),22 patients who received Vertical Partial Laryngectomy(VPL)and 20 normal subjects.Record the parameters of F0,jitter,shimmer,NNE,HNR and MPT.Compare the results of each group.Results Perceptual Evaluation showed that the G grade of CHEP group and VPL group was 2.67±0.49 and 2.50±0.59,respectively.It was significantly higher than that of the control group(0.30±0.48)(P<0.05).The postoperative voice of VPL group was slightly better than that of CHEP group.However,there was no statistically significant difference in G grade between the two groups(P>0.05).Acoustic analysis results showed that the postoperative acoustic parameters of CHEP group and VPL group were worse than those of the control group.The differences were statistically significant(P<0.05).The MPT(9.78±4.89s)of VPL group was significantly longer than that of CHEP group(6.49±2.44s)(P<0.05).There were no statistically significant differences in other acoustic parameters between the two groups(P>0.05).Conclusion There was no significant difference between cricohyoidoepiglottopexy and vertical partial laryngectomy in the voice recovery in glottic carcinoma patients with the anterior commissure invasion.

关 键 词：声门型喉癌 环舌会厌吻合术 喉垂直部分切除术 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]