以声嘶为首发症状的甲状腺良性肿物治疗经验

Treatment for benign thyroid nodules with hoarseness as primary symptom

目的:探讨以声嘶为首发症状的甲状腺良性结节的手术疗效。方法:12例以声嘶为首发症状就诊的甲状腺良性结节患者,行同侧甲状腺次全切除加喉返神经解剖术,比较术前、术后患者纤维喉镜检查、嗓音分析结果,分析声带活动及声音质量,对术前、术后患者的基频微扰、振幅微扰及嗓音障碍严重程度指数进行统计分析。结果:12例患者术后声嘶明显好转,声带恢复活动。术后1个月患者基频微扰、振幅微扰及嗓音障碍严重程度指数与术前比较均差异有统计学意义(均P<0.01)。结论:甲状腺良性结节可导致声带麻痹及声嘶,早期诊断及积极手术探查能有效改善患者的声音质量。

Objective：To investigate the effect of operation on Benign thyroid nodules with hoarseness as pri- mary symptom. Method：Twelve patients were underwent the operation of subtotal thyroidectomy and exposing of recurrent laryngeal nerve. We evaluating the effect by fibrolaryngoscope and voice acoustic analysis before and after operation. Result：All the 12 patients underwent surgery successfully. The hoarseness improved obviously and vo cal cords were reactivate. Jitter, shimmer and dysphonia severity index showed significant difference pre and one month after surgery. Conclusion： Benign thyroid nodules could also cause vocal cord paralysis and hoarseness, the effect can he satisfying by subtotal thyroidectomy and exposing of recurrent laryngeal nerve if it can be early diagnosed.