摘要
目的 分析T形与V形喉硅胶膜在早期声门型喉癌喉裂开术后的应用价值。方法 收集2012年7月至2015年3月我院收治的早期声门型喉癌（T1-T2期）行喉裂开病变切除术共60例,34例术后放置T形硅胶膜,26例放置V形喉硅胶膜。对比两组患者术后的疼痛程度、呼吸功能、发音功能、吞咽功能及黏膜的恢复等情况。结果 两组患者术后疼痛程度（NRS）评分比较,差异有统计学意义（P〈0.05）。两组在胃管拔除时间上T形膜组时间长于V形膜组（P〈0.05）。T形膜组发音质量（VHI）与V形组相比差异有统计学意义（21.13±6.10 Vs18.36±7.28,P〈0.05）,嗓音总嘶哑度评估中,两组大部分为轻中度异常,差异有统计学意义（82.35%Vs96.15%,P〈0.05）。结论 本研究显示喉硅胶膜置入能有效避免声门型喉癌喉裂开术后瘢痕形成而引起喉狭窄,V形硅胶膜则是从声门正常的结构考虑能更有效恢复患者的嗓音学状态,术后痛苦小、恢复快、并发症少,术后喉功能保全良好,提高了患者的生存质量。
Objective To investigate the applicational value and curative effect between T-shaped silicone membrane and V-shaped silicone membrane in early glottic laryngeal cancer after laryngofissure cardectomy. Methods 60 patients with early glottic laryngeal cancer on T1 ~T2 stage from July 2012 to March 2015 treated in our hospital were included.All the patients accepted the laryngofissure cordectomy,in which 34 patients were placed T-shaped silicone membrane and 26 patients were placed V-shaped silicone membrane.After operation we analysed the differences on pain degree,respiratory function,phonation, swallowing function and mucosa recovery between the two groups of patients. Results Comparing postoperative pain degree via using numeric rating scales （NRS）,the differences between the two groups had statistical significance （P 〈0.05）.In gastric tube removed time,the T-shaped silicone membrane group was longer than that of the V-shaped silicone membrane group,and the differences between the two groups had statistical significance （P 〈0.05）.Compared phonation function,the mean of Voice Handicap Index （VHI） in the T-shaped silicone membrane group and the V-shaped silicone membrane group had statistical significance （21.13 ±6.10 Vs 18.36 ±7.28,P 〈 0.05 ）.Most patients in both groups were mild-to-moderate abnormal degree when compare the index of total hoarse voice degree G score,and difference between two groups on total hoarse voice degree G score was statistically significant （P 〈0.05）.Conclusion Our results prove that silica gel membrane implantation can significantly avoid laryngeal stenosis due to the scarring after bilateral vocal cord lesions resection.The V-shaped silicon membrane from the structure of the glottis normal consider state can effectively restore the patient′s voice,mild postoperative pain,rapid recovery,fewer complica-tions,and has a lot to improve on the postoperative laryngeal function preservation and the quality of life of patients.
出处
《河南科技大学学报（医学版）》
2015年第2期100-104,共5页
Journal of Henan University of Science & Technology:Medical Science
关键词
声门型喉癌
硅胶膜
喉裂开术
喉功能
glottic laryngeal cancer
silica membrane
laryngofissure
laryngeal function
