摘要
目的 探讨纤维喉镜下手术治疗声带良性增生性病变的效果以及术后发声功能矫治的意义。方法 对临床诊断为声带良性增生性病变的 2 6 5 7例患者采用日本OlympusBFYEPYXT30纤维喉镜经鼻腔行纤维喉镜检查并手术 ,术后 2周复诊。对 2 0 3例发声方法不正确的患者进行发声功能矫治 ,对 17例术后完全失声者采用颈部推拿及喉针治疗。结果 2 6 5 7例患者治疗后半个月复查 ,痊愈 2 4 34例 ,占 91.6 % ;有效 2 0 3例 ,占 7.6 % ;对 2 0 3例有逆呼吸和高位呼吸患者行功能矫治后 1个月、3个月、半年复诊 ,效果明显。对 17例术后完全失声者经颈部推拿及喉针治疗 ,治疗后 1周检查已痊愈。结论 纤维喉镜下治疗声带良性增生性病变方法简便 ,疗效好 ,术后进行发声矫治以纠正错误的发声方法 ,对于巩固术后疗效。
Objective To explore the treatment effect of benign vocal hyperplasic diseases under fibrolaryngoscope and to evaluate the significance of voice correction after operation. Methods ①Routine fibrolaryngoscopic examination and operation were taken through noses with Olympus BF YEPY XT30 fibrolaryngoscope made in Japan,and computer monitor. ② The correction of voice disorder began two weeks after operation in patients to replace their wrong speech customs by scientific ones and change their contrary or high position breath into chest-abdomen breath.Results Half a month after operation, 2 434 of 2 657 recovered (91.6%), and 203 patients felt effective (7.6%). The correction of voice disorder after operation was significant to the patients with contrary or high position breath in one month, three months and half year after operation. 17 patients who were aphonia wholly were treated with cervical massage and acupuncture in larynx, and healed one week after treatment.Conclusion The treatment for benign vocal hyperplasic disease under fibrolaryngoscope is convenient and effective.The correction of voice disorder after operation is necessary to maintain the effection of post-operation and prevent diseases from recurrence.
出处
《听力学及言语疾病杂志》
CAS
CSCD
2004年第4期232-234,共3页
Journal of Audiology and Speech Pathology
关键词
声带
良性增生性病变
纤维喉镜
发声矫治
Vocal cords
Benignant hyperplasic diseases
Fibrolaryngoscope
Correction of voice disorder
