环状软骨上喉次全切除术发音效果的评价

目的　评价环状软骨上喉次全切除术后患者的发音效果。方法　回顾性分析２０００年１月至２００８年１２月行环上喉部分切除合并环 舌骨固定术或环 舌骨 会厌固定术的７６例住院患者，男性７１例，女性５例，年龄３９～６８岁，平均６１岁。按２００２年ＵＩＣＣ喉癌ＴＮＭ分类，其中声门上型４４例（Ｔ_２Ｎ_０Ｍ_０１８例、Ｔ_２Ｎ_１Ｍ_０１６例、Ｔ３Ｎ_０Ｍ_０６例、Ｔ_３Ｎ_１Ｍ_０４例），声门型３２例（Ｔ_２Ｎ_０Ｍ_０１１例、Ｔ_２Ｎ_１Ｍ_０１３例、Ｔ_３Ｎ_０Ｍ_０５例、Ｔ_３Ｎ_１Ｍ_０３例）。结果　各型环状软骨上喉部分切除术手术后其声学参数值差异有统计学意义（Ｐ＜０.０５）。ＣＨＥＰ保留双侧杓状软骨振幅微扰值较保留单侧杓状软骨者有显著性差异。Ｊｉｙａｎ分级评分法评估各项指标差异明显。行围手术期言语训练者发音效果优于未行言语训练者。结论　环状软骨上喉部分切除术治疗后，不同类型术后嗓音恢复的质量不尽相同。手术切除的范围、深度对喉结构的恢复及发音功能有影响，患者术后能进行正常的生活交流。

The evaluation of pronunciation of the supracricoid partial laryngectomy for laryngeal cancer

Objective To assess the pronunciation effectiveness of supracricoid partial laryngectomy in the treatment of laryngeal cancer.Methods Seventy-six patients were enrolled in this study from January 2000 to December 2008,in which seventy-one cases were males and 5 were females.According to the 2002 UICC system,there were 32 patients with glottic cancer(11 T2N0M0,13 T2NlM0,5 T3N0M0,3 T3NlM0),and 44 patients with supraglottic cancer(18 T2N0M0,16 T2NlM0,6 T3N0M0,4 T3NlM0).Supracricoid partial laryngectomy was per...