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作 者:黎新波[1] 周振劲[1] 傅国武[1] 朱丹 张达群[1] 钟启龙[1] LI Xin-bo;ZHOU Zhen-jing;FU Guo-wu;ZHU Dan;ZHANG Da-qun;ZHONG Qi-long(Department of Otolaryngology,Maoming People’s Hospital,Guangdong Province,Guangdong Maoming 525000)
机构地区:[1]广东省茂名市人民医院耳鼻喉科,广东茂名525000
出 处:《中国医疗器械信息》2023年第2期24-26,共3页China Medical Device Information
基 金:茂名市科技计划项目(项目名称:显微镜及支撑喉镜下声带自体脂肪填充术治疗声门闭合不良的研究,项目编号:2020145)。
摘 要:目的:评估显微镜及支撑喉镜下声带自体脂肪填充术治疗声门闭合不良的效果。方法:选取本院10例声门闭合不良患者作为研究对象,均在显微镜及支撑喉镜下声带自体脂肪填充术治疗,术后行嗓音声学检查及喉镜检查,对比术前指标,分析治疗效果。结果:治疗后G、R、B、A均低于治疗前,差异具有统计学意义(P<0.05)。结果显示,治疗后10例患者的基频微扰、振幅微扰、NNE均低于治疗前,谐噪比、MPT高于治疗前,差异具有统计学意义(P<0.05)。治疗后10例患者发音时两声带突间的宽度高于治疗前,差异具有统计学意义(P<0.05)。结论:显微镜及支撑喉镜下声带自体脂肪填充术治疗声门闭合不良可获得良好疗效,可帮助患者获得满意的发音效果。Objective: To evaluate the effect of autologous fat filling of vocal cord under microscope and supporting laryngoscope in the treatment of poor glottic closure. Methods: Selected 10 patients with poor glottis closure in our hospital as the research object, all of them were treated with autologous fat filling of the vocal cords under microscope and support laryngoscope, postoperative voice acoustic examination and laryngoscopy, compared the preoperative indicators, and analyzed the treatment effect. Results: G, R, B and A after treatment were lower than those before treatment(P<0.05). The results showed that the fundamental frequency perturbation, amplitude perturbation and NNE of 10 patients after treatment were lower than those before treatment, and the harmonic noise ratio and MPT were higher than those before treatment(P<0.05). After treatment, the width between the two vocal cord processes in 10 patients was higher than that before treatment(P<0.05). Conclusion: Autologous fat filling of vocal cord under microscope and supporting laryngoscope can obtain good curative effect in the treatment of poor glottic closure, help patients obtain satisfactory pronunciation effect.
关 键 词:声门闭合不全 脂肪组织 自体 喉注射成形术 临床疗效
分 类 号:R767.4[医药卫生—耳鼻咽喉科]
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