全喉切除术后食管语康复实践

Rehabilitation practice of esophageal speech after total laryngectomy

目的总结喉全切除术食管发声训练和效果。方法对我院自1998年6月～2003年6月的59例喉癌、下咽癌全喉切除术后患者,进行食管发声康复训练。结果53例(89.8%)获得不同程度的发声功能,46例无喉者的言语水平接近正常喉言语水平,他们的最大发音时程较长、听距较远,言语可懂度高,较流利;7例发音效果差,但言语可懂度仍高;不能发声者仅6例。结论与其它发声重建相比,食管发声能很快学会发基本音,并具有发声成功率高、发声质量良好等优点。

Objective To summarize the training experience and the effect of esophageal phonation after total laryngectomy. Methods 59 patients with advanced pypopharyngeal or laryngeal carcinoma were treated with total larngectomy and vocal reconstruction from six 1998 to six 2003 in this hospital were trained for voice rehabilitation by the esophageal. Results Among the 59 patients,53 patients （89.8%） regained the phonation function to a different extent.Only 6 patients could not speak.The speech level of 46 laryngectomees was similar to the normal laryngeal speech level.46 patients had longer maximal phonation time and hearing distance and higher speech intelligibility.Other 7 laryngectomeey had less effectace phonation,but higher intelligibility.The total effective rate was 89.8% （53/59）. Conclusion There are many excellences in esophageal phonation training style.It could easily get their voice rehabilitated.The success rate of the speech is higher,the quality of the speech is better than the other methods of the speech rehabilitation.