关于声带息肉手术术后疗效评估的方法  

Method for Evaluating the Postoperative Efficacy of Vocal Cord Polyp Surgery

作　　者：杨思凡 刘权忠 谢邦建 骆文龙[1] 

机构地区：[1]重庆医科大学附属第二医院耳鼻咽喉头颈外科,重庆 [2]重庆市南川区人民医院耳鼻咽喉头颈外科,重庆

出　　处：《临床医学进展》2023年第8期12256-12263,共8页Advances in Clinical Medicine

摘　　要：目的:阐述关于在支撑喉镜下切除声带息肉术后恢复疗效的评估方法。方法:通过比较声带息肉患者术后声带运动形态及嗓音评估的各类检查方式及评估手段,总结出其优缺点。结果:GRBAS (嗓音嘶哑评估)及AHI-10 (嗓音障碍指数)操作简单、方便、无创、无侵袭性、成本低,能主观反映患者嗓音恢复情况,可广泛普及和运用。喉成像技术及嗓音声学参数测试不仅需要检查者的设备及技术支持,还需受检者配合,才能客观地反映声带运动的形态情况及嗓音质量。结论:嗓音的评估必须是多元化的,只有通过将主客观的这几种评估方式结合在一起,使其对声带运动及嗓音质量的评估视觉化、数据化、科学化,这样主客观的方式相结合,才能更好地反映患者在社会活动中嗓音运用的实际感受。Objective: To elucidate the evaluation method for the postoperative recovery effect of vocal cord polyp resection under supportive laryngoscope. Method: By comparing various examination meth-ods and evaluation methods for postoperative vocal cord movement morphology and voice evalua-tion in patients with vocal cord polyps, their advantages and disadvantages were summarized. Re-sults: GRBAS and AHI-10 were simple, convenient, non-invasive, cost-effective, and they could sub-jectively reflect the recovery of patients’ voice. They could be widely popularized and applied. Lar-yngeal imaging technology and voice acoustic parameter testing not only require the equipment and technical support of the examiner, but also the cooperation of the subject in order to objectively reflect the morphology of vocal cord movement and voice quality. Conclusion: The evaluation of voice must be diversified. Only by combining these subjective and objective evaluation methods together, can their evaluation of vocal cord movement and voice quality be visualization, da-ta-driven and scientific. In this way, the combination of subjective and objective methods can better reflect the actual feelings of patients in the use of voice in social activities.

关 键 词：声带息肉 术后疗效 评估方法 

分 类 号：R76[医药卫生—耳鼻咽喉科]