早期声门型喉癌患者喉裂开肿瘤切除术后放置V形喉硅胶膜的临床效果  

Clinical Effect of a V-shaped Laryngeal Silicone Membrane Placed After Laryngeal Split Open Tumor Resection in Patients with Early Glottal Laryngeal Cancer

作　　者：彭晶[1] 张超[1] 汪佳俊 曹萌 王艳艳[1] PENG Jing;ZHANG Chao;WANG Jiajun(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,471000)

机构地区：[1]河南科技大学第一附属医院,471000

出　　处：《实用癌症杂志》2023年第11期1877-1880,共4页The Practical Journal of Cancer

基　　金：河南医学科技攻关计划(编号:201504020)。

摘　　要：目的 探讨早期声门型喉癌患者喉裂开肿瘤切除术后放置V形喉硅胶膜的临床效果。方法 选取80例早期声门型喉癌患者,按随机数字表法分为2组,各40例。2组均行喉裂开切除肿瘤术治疗,对照组术后放置T形喉硅胶膜,观察组术后放置V形喉硅胶膜,术后随访6个月。比较2组疼痛程度、发音功能、吞咽功能、生活质量。结果 观察组疼痛程度低于对照组,差异有统计学意义(P<0.05)。观察组术后基屏微扰(jitter)[(1.13±0.15)%]、振幅微扰(shimmer)[(2.63±0.35)%]低于对照组[(1.25±0.18)%、(3.41±0.41)%],谐噪比(HNR)[(22.89±2.14)dB]高于对照组[(20.05±2.07)dB],有统计学差异(P<0.05)。观察组术后吞咽功能优于对照组,生活质量中生理领域评分[(84.53±6.19)分]、心理领域评分[(82.58±6.14)分]、社会领域评分[(89.31±7.25)分]及环境领域评分[(90.65±6.29)分]高于对照组[(78.84±6.05)分、(76.35±5.89)分、(82.64±7.15)分、(84.75±6.12)分],有统计学差异(P<0.05)。结论 早期声门型喉癌患者术后放置V形喉硅胶膜效果更佳,能够减轻术后疼痛,加快发音及吞咽功能恢复,改善术后生活质量。Objective To investigate the clinical effect of placing V-shaped laryngeal silicone membrane after resection of laryngeal split tumor in patients with early glottal laryngeal cancer.Methods 80 patients with early glottic laryngeal cancer were selected and divided into 2 groups with 40 patients.After sugery,the control group placed T-shaped laryngeal silicone membrane,and the observation group placed V-shaped laryngeal silicone membrane,and was followed up for 6 months.Compared between the 2 groups,pain level,pronunciation function,swallowing function,and quality of life.Results The pain level in the observation group was lower than the control group(P<0.05).In the observation group,the postoperative base screen disturbance(jitter)[(1.13±0.15)%],amplitude disturbance(shimmer)[(2.63±0.35)%]was lower than the control group[(1.25±0.18)%,(3.41±0.41)%],the noise-to-noise ratio(HNR)[(22.89±2.14)dB]was higher than the control group[(20.05±2.07)dB],with a statistical difference(P<0.05).The observation group had better postoperative swallowing function than the control group,in quality of life,Physiological score,psychological score,social score,environmental score of the observation group were[(84.53±6.19)],[(82.58±6.14)],[(89.31±6.25)]and[(90.65±6.29)],which were higher than those of the control group[(78.84±6.05),(76.35±5.89),(82.64±7.15),(84.75±6.12)],with statistical difference(P<0.05).Conclusion The postoperative placement of V-shaped laryngeal silicone membrane is better in reducing postoperative pain,accelerate the recovery of pronunciation and swallowing function,and improve the postoperative quality of life.

关 键 词：声门型喉癌 喉裂开切除术 V形喉硅胶膜 呼吸功能 吞咽功能 

分 类 号：R739.65[医药卫生—肿瘤]