甲状腺术后非喉返神经损伤引起的语音变化

The change of voice quality after thyroidectomy without recurrent laryngeal nerve injury

目的探讨甲状腺切除术后非喉返神经损伤引起语音质量变化的危险因素,为防治患者术后语音质量受损提供参考。方法通过阅读国内外的相关文献,对甲状腺术切除术后非喉返神经损伤引起语音质量变化的研究进展进行归纳总结。结果对于行甲状腺切除术的患者,术中即使没有明显的喉返神经神经损伤,术后也可能发生语音质量的改变。甲状腺切除术后非喉返神经损伤引起的语音质量变化主要与喉上神经功能障碍、喉前带状肌损伤、气管插管、手术方式、年龄、性别、特殊职业等多种危险因素相关。结论语音质量的改变是甲状腺切除术后常见的并发症,严重影响患者的生活质量。在无明显喉返神经损伤的情况下,甲状腺切除术后的许多患者仍会出现语音质量的变化。了解甲状腺手术后语音质量变化的相关危险因素,有助于优化术后发声功能,预防可能产生的继发性损伤,提高患者的生活质量。

Objective To summarize the risk factors of the change of voice quality after thyroidectomy without recurrent laryngeal nerve injury and to provide reference for the prevention and treatment of postoperative voice quality damages.Method The research progress of the change of voice quality after thyroidectomy without recurrent laryngeal nerve injury was reviewed by reading the related literatures at home and abroad.Results Even if there was no obvious recurrent laryngeal nerve injury during the operation,the voice quality may change after the operation for the patients undergoing thyroidectomy.The change of voice quality after thyroidectomy without recurrent laryngeal nerve injury was associated with various risk factors such as dysfunction of superior laryngeal nerve,injury of anterior laryngeal band muscles,endotracheal intubation,surgical methods,age,gender and special occupations.Conclusions The change of voice quality is a common complication after thyroidectomy,which seriously affects the quality of life of patients.In the absence of significant recurrent laryngeal nerve injury,many patients will still experience problems with voice quality.Understanding the related risk factors of voice quality change after thyroidectomy is helpful to optimize postoperative voice function,to prevent possible secondary injuries,and to improve the quality of life of patients.