喉癌术后喉狭窄

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1、第二军医大学学报•516•2007May,28(ö)AcadJSccMilMedUniv·伦著·喉癌术后喉狭窄患者喉重建术后的嗓音分析李力赵舒薇1w杨毓梅叶青2,~F军添王海青范静平1O.第二军医大学长征医院耳鼻咽喉科.上海200003，2.上海市闸北区中心医院耳鼻咽喉科，上海200070)[摘要]町的:分析喉癌术后喉狭窄患者行颈前旋转肌皮瓣喉重建术后的嗓音康复情况o方法:应用Dr.Speech嗓音分析系统对19例喉癌术后喉狭窄患者喉重建术后的嗓音参数，包括基频(Fυ)、基频微扰(Jitter)、振幅微扰(Shimmer)及声门噪声能量(NN

2、E)值进行分析，并与喉重建术前以及成人喉孔头状瘤15例、声带息肉20例、正常人20例进行对比。结采:喉癌术后喉狭窄患者喉重建后的Fo较术前有显著上升(P

3、肿瘤;喉狭窄[中图分类号]R739.65[文献标识码]A[文章编号]0258-879X(200n05-0516-03VoiceanalysisofpatientsreceivingsecondstagereconstructionoflaryngostenosisafterpartiallaryngectomyforlaryngealcancerLIIIIIIU.Z日AOShu-wei•,YANGYu-mei•YEQing'.LANGJun-tian,WANGHai-qing,FANJing-ping(1.DepartmentofOtolar

4、yngo10gy,ChangzhengHospital.SecondMilitaryMedicalUniversity.Shanghai200003,China;2.DepartmentofOtolaryngology,CentralHospitalofZhabeiDistrict.Shanghai200070)[ABSTRACTJObjective,Toanalyzethevoicerehabil山tionofthepatientsreceivingsecondstagereconstructionwithrotatorymyocutane

5、ousflapforlaryngostenosisafterpartiallaryngectomyorextendeclpartiallaryngectomyforlaryngealcancerMethods,NineteenpatientsreceivingsecondstagereconstructionforlaryngostenosisweresubjectedtovoiceassessmentbyDr.Speechsoftware;thevaluesofFo.Jitter.ShimmerandNNEwerecalculated;th

6、eresultswerecomparedwithbeforetheseconclstagereconstructionancl15adultpatientswithlaryngealpapilloma.20patientswithvocalpolypancl20normalcontrols.Results,TheFovalueofthepatientswhoundergonesecondstagereconstructionwasobviouslyhigherthanthatbeforethesecondstagereconstruction

7、(P

8、ntswithvocalpolyp(P