摘要
目的：探讨发音康复训练对喉全切除术后一期发音重建术及食管肌瓣成形改进术患者的康复疗效。方法：喉癌患者52例,分别行天津睦郎式气管食管瘘发音重建术（Ⅰ型）18例,食管肌瓣成形改进术式（Ⅱ型）34例,术后3周均开始进行发音康复训练。结果：治疗2-3周后,Ⅰ型成功14例（77.8%）,Ⅱ型25例（73.5%）,平均最长发音持续时间为11.4 s。结论：发音康复训练对喉全切除术后一期气管食管瘘发音重建术患者术后发音的恢复有显著作用。
Objective： To discuss vocal recovery effect of voice reconstruction following total laryngectomy. Methods： Fifty-two cases were subjected to Amatsus method for voice reconstruction following total laryngectomy in 1995- 2005 and the relevant clinical research was carried on. There were 39 males and 13 females. Twenty-four cases received bilateral esophageal muscle flaps. Results： Thirty nine patieuts recovered after operation and regained voice capability. The average values of the sustained vowel duration were 11. 4 s. The successful rate of phonation for TE shunt I was 77.8% and of TE bilateral esophageal muscle flaps was 73.5%, The total rate was 75%. Conclusion： It is an ideal method for vocal recovery with tracheoesophageal fistulization for voice reconstruction following total laryngectomy.
出处
《中国康复》
2008年第1期34-35,共2页
Chinese Journal of Rehabilitation
关键词
发音重建
全喉切除术
气管食管瘘
voice reconstruction
laryngectomy
tracheoesophageal fistula
