改良杓状软骨内收术治疗单侧声带麻痹

Modified Arytenoid Adduction for Unilateral Vocal Fold Paralysis

施剑斌;郑宏良;陈世彩;刘菲;王佳;张明星;王伟;

1:第二军医大学附属长海医院耳鼻咽喉头颈外科

摘要

目的评估改良杓状软骨内收术治疗单侧声带麻痹的疗效。方法回顾性分析2001年2月～2007年12月22例行改良杓状软骨内收术的单侧声带麻痹患者的临床资料,对术前和术后3个月的误吸指数、主观听感知评估参数(GRBAS)、声学检测参数[基频(F0)、基频微扰(jitter)、振幅微扰(shimmer)、标准化噪声能量(NNE)]、最大声时(MPT)、平均气流率(MFR)进行统计学分析。结果22例患者术后误吸指数分值较术前明显下降,GRBAS评估各参数比术前明显下降,声学检测各参数(F0、jitter、shimmer、NNE)较术前明显降低,最大声时明显延长,平均气流率明显降低,差异均有统计学意义(均为P<0.001)。结论改良杓状软骨内收术是一种治疗单侧声带麻痹有效的声带内移术,既可恢复良好的发声功能,又可缓解误吸。

关键词

声带麻痹;杓状软骨内收术

基金项目(Foundation):

作者

施剑斌;郑宏良;陈世彩;刘菲;王佳;张明星;王伟;

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施剑斌郑宏良陈世彩刘菲王佳张明星王伟