气管—食管音的言语评价及声学测试

THE EVALUATION OF TRACHEOESOPHAGEAL (TE) SPEECH AND ACOUSTIC ANALYSIS OF TE VOICE

本文对9例全喉切除术后行气管—食管造瘘术并应用发音管发音的患者进行言语评价及声学测试。言语评价结果表明,气管—食管言语能为一般听众及患者的家属所接受。Ⅱ期手术患者其言语可接受度及言语可懂度术后有显著提高。声学测试包括频率、强度、气流率、声时等,其结果与国外报道相似,接近正常喉音。我们认为,气管—食管造瘘术并应用发音管所建立的气管—食管言语基本满足了日常生活对话需要,是全喉切除后言语重建的一种有效的方法。

Evaluations of tracheoesophageal (TE) speech and acoustic analysis of TE voice were studied on 9 laryngectomees with TE fistula and using voice prosthesis for speech rehabilitation. Of these patients, two received the TE fistula procedure at the time of laryngectomy (primary procedure); sever, subsequent to larynectomy (secondary procedure). The resutls Showed that TE speech was accepted by naive judges and by the laryngectomees families. The acceptbility and intelligibility of the speech of the patients with scondary procedure were significantly increased postoperatively The results of the acoustic analysis of TE voice were similar to those of other report. We believe that the TE speech may Satisfy the needs of daily social communication and that tne TE fistula with using voice prosthesis is an effective method of alaryngeal speech rehabilitation.