全喉切除术发声重建后嗓音主客观评估研究进展  

Advances in Subjective and Objective Evaluation of Voice after Total Laryngectomy

作　　者：吴滨燕 康晓茜 KIM HaKyung 郑钦 WU Bin-yan;KANG Xiao-xi;KIM HaKyung;ZHENG Qin

机构地区：[1]华东师范大学教育学部康复科学系,上海200062 [2]上海市第一妇婴保健院,上海201204

出　　处：《中国听力语言康复科学杂志》2024年第1期74-78,共5页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：2021年国家社会科学基金重大项目(21&ZD294);上海交通大学医学院附属第九人民医院临床研究助推计划(临+计划)。

摘　　要：全喉切除术是治疗晚期喉癌的主要策略,该手术会改变患者生活,对嗓音产生深远影响。术后患者不可避免会失去喉这一发声器官,从而导致失声。目前,针对无喉患者的发声重建从以下3种方式进行,食管言语、气管食道言语和电子喉言语。嗓音评估一般采用感知声音量表、自评量表或问卷以及声学仪器测量。本文针对全喉切除术后嗓音评估进行追溯与总结,关注目前主流的评估方式,探究全喉切除术后的嗓音质量。Total laryngectomy is the main strategy for the treatment of advanced laryngeal cancer;however,total laryngectomy remains a life-changing procedure that has a profound impact on the voice.Postoperative patients inevitably lose the larynx as a vocal organ,resulting in voice loss.Vocal reconstruction for laryngectomized patients is currently performed from three modalities:esophageal speech,tracheoesophageal speech,and electronic laryngeal speech.Voice is also generally assessed from perceived voice scales,self-assessment scales or questionnaires,and acoustic instrument measurements.In this paper,we will trace and summarize the voice assessment after total laryngectomy,focusing on the current mainstream assessment methods and exploring the voice quality after total laryngectomy.

关 键 词：全喉切除术 嗓音质量 嗓音主客观评估 

分 类 号：R322.32[医药卫生—人体解剖和组织胚胎学] R767.92[医药卫生—基础医学]