舌癌术后患者舌辅音异常特征及与构音运动类参数的相关性  

Abnormal characteristics of tongue consonants and their correlation with articulatory movement parameters in patients with tongue cancer after surgery

作　　者：袁冯 刘璐璐 梁悦悦 曹明明 徐志慧 钱传如 王栋 张凯 YUAN Feng;LIU Lu-lu;LIANG Yue-yue;CAO Ming-ming;XU Zhi-hui;QIAN Chuan-ru;WANG Dong;ZHANG Kai(Department of Oral and Maxillofacial Surgery,First Affiliated Hospital of Bengbu Medical University.Bengbu 233000,Anhui Province,China)

机构地区：[1]蚌埠医科大学第一附属医院口腔颌面外科,安徽蚌埠233000

出　　处：《上海口腔医学》2025年第1期74-78,共5页Shanghai Journal of Stomatology

基　　金：安徽省高校学科(专业)拔尖人才学术资助项目(gxbjZD2021058)。

摘　　要：目的:探讨舌癌术后患者舌辅音异常特征及与构音运动类参数的相关性。方法:选择2019年3月—2023年5月于蚌埠医科大学第一附属医院接受手术治疗的舌癌患者119例,根据手术切除部位及范围分为舌缘组(n=38)、舌体组(n=40)及舌根口底组(n=41)。采用《黄昭鸣-韩知娟词表》中用于评估舌辅音的25个单音节词作为语音评估材料,评估患者每个舌辅音发生错误情况。使用构音语音测量与训练仪,通过线性预测谱提取患者发/i/、/u/元音的第二共振峰(F2),根据公式计算出构音运动类参数舌距和F2i/F2u。采用SPSS 26.0软件包对数据进行统计学分析。结果:各组患者舌辅音错误率,舌缘组中舌尖前音(49.5%)>舌尖中音(27.8%)>舌尖后音(17.5%)>舌面音(9.4%)>舌根音(6.1%),舌体组中舌尖前音(55.0%)>舌尖中音(47.1%)>舌尖后音(25.4%)>舌面音(12.1%)>舌根音(3.3%),舌根口底组中舌尖前音(60.0%)>舌尖后音(52.0%)>舌尖中音(51.9%)>舌根音(44.3%)>舌面音(34.8%)。舌体组、舌根口底组舌尖中音错误频次显著高于舌缘组,舌根口底组舌尖后音、舌面音、舌根音错误频次显著高于舌体组、舌缘组(P<0.05)。舌根口底组舌距、F2i/F2u显著低于舌缘组、舌体组,舌体组舌距、F2i/F2u显著低于舌缘组(P<0.05)。各组患者舌距、F2i/F2u与舌尖中音、舌尖后音、舌根音错误频次之间均存在显著负相关(r<0,P<0.05)。结论:舌癌术后患者以舌尖音异常为主,其中舌尖前音为最严重的问题语音。临床上可借助舌距、F2i/F2u,定量化间接评估舌癌患者术后舌尖中音、舌尖后音、舌根音发音状况及动态康复疗效。PURPOSE:To study the abnormal characteristics of tongue consonants and their correlation with articulatory movement parameters in patients with tongue cancer after operation.METHODS:A total of 119 patients with tongue cancer who received surgical treatment at First Affiliated Hospital of Bengbu Medical University from March 2019 to May 2023 were selected.The patients were divided into tongue margin group(n=38),tongue body group(n=40)and tongue base group(n=41).Twenty-five monosyllabic words in Huang Zhaoming-Han Zhijuan Vocabulary List for evaluating tongue consonants were used as speech assessment tools to evaluate the errors of each tongue consonant.The articulation speech measurement and training instrument were used to extract the second formants(F2)of the/i/and/u/vowels of the patients by linear predictive spectrum,and the articulation movement parameters such as tongue distance and F2i/F2u were calculated according to the formula.SPSS 26.0 software package was used for data analysis.RESULTS:The rate of tongue consonant error in each group was as follows:in tongue margin group,preapical sound(49.5%)>apical middle sound(27.8%)>apical postapical sound(17.5%)>lingual facial sound(9.4%)>lingual base sound(6.1%).In tongue body group,preapical sound(55.0%)>apical middle sound(47.1%)>apical postapical sound(25.4%)>lingual facial sound(12.1%)>lingual base sound(3.3%).In tongue base group,preapical sound(60.0%)>postapical sound(52.0%)>apical medium sound(51.9%)>lingual base sound(44.3%)>lingual facial sound(34.8%).The error frequency of tongue apex medium sound in tongue body group and tongue base group was significantly higher than that in tongue margin group,and the error frequency of tongue apex posterior sound,tongue surface sound and tongue base sound in tongue base group was significantly higher than that in tongue body group and tongue margin group(P<0.05).Tongue distance and F2i/F2u in tongue base group were significantly lower than those in tongue margin group and tongue body group,and tongue distance and F2

关 键 词：舌癌 舌辅音 异常特征 构音运动类参数 相关性 

分 类 号：R739.8[医药卫生—肿瘤]