早期声门型喉癌激光术后发音功能的客观声学分析

山东大学耳鼻喉眼学报

早期声门型喉癌激光术后发音功能的客观声学分析

朱肇峰，王跃建，梁玉颜，陈伟雄，陈瑞开

佛山市第一人民医院耳鼻咽喉-头颈外科，广东佛山 528000

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-08-24 发布日期:2007-08-24
通讯作者: 朱肇峰

Objective acoustic analysis of the voice in early glottic laryngeal carcinoma following laser surgery

ZHU Zhao-feng, WANG Yue-jian, LIANG Yu-yan, CHEN Wei-xiong， CHEN Rui-kai

Department of Otolaryngology & Head and Neck Surgery, Foshan First People′s Hospital,Foshan 528000, Guangdong, China

Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
Contact: ZHU Zhao-feng

摘要/Abstract

摘要： 目的：探讨声门型喉癌半导体激光各型手术后发音功能恢复状况。方法：应用计算机嗓音声学测试系统（Dr.speech for Windows）对66例声门型喉癌行半导体激光手术治疗后的患者进行嗓音测试，并对所测的声学参数值进行定量分析，判断所测的嗓音质量。结果：各型激光手术后其声学参数值中，jtter值变化不大，各型比较差异无统计学意义（P＞0.05）。Ⅱ型术后3个月，shimmer NNE值变小，嗓音质量开始出现改善，6个月后，嗓音质量明显改善，并呈现稳定状态，与其余各型比较，差异有统计学意义（P＜0.01)。Ⅲ型术后6个月嗓音质量亦有改善，与Ⅳ、Ⅴ比较，差异有统计学意义(P＜0.05)，Ⅳ、Ⅴ型比较，差异无统计学意义，且嗓音质量1年内无明显改善。结论：早期声门型喉癌激光治疗后，各型术后嗓音恢复的时间、质量不尽相同。手术切除的范围、深度对恢复喉的结构及发音功能有影响。

关键词: 喉肿瘤, 激光手术, 喉切除术, 嗓音声学分析

Abstract: Objective: To explore voice restoration of patients with glottic laryngeal carcinoma after laser surgery. Method: A computer vocal acoustics test system (Dr.speech for Windows) was used to determine the voice quality of 66 patients with glottic laryngeal carcinoma. Results: The value of jtter was not changed a lot, but the value of shimmer NNE was decreased at 3 months after surgery and the voice quality was significantly improved at 6 months after surgery and then in a steady state for typeⅡcompared with those for other types(P＜0.01). Voice quality was improved in type Ⅲ at 6 months after surgery compared with that in types Ⅳ and Ⅴ (P＜0.05) and it was not improved in types Ⅳ and Ⅴ at 1 year after surgery. Conclusion: Recovery time and quality are different in different types of laser surgery. The surgical range is closely related to the recovery of laryngeal structure and voice function.

Key words: Laryngeal neoplasm, Laser surgery, Laryngectomy, Vocal acoustics analysis

中图分类号:

R739.6

朱肇峰,王跃建,梁玉颜,陈伟雄,陈瑞开 . 早期声门型喉癌激光术后发音功能的客观声学分析[J]. 山东大学耳鼻喉眼学报, 2007, 21(4): 352-354 .

ZHU Zhao-feng,WANG Yue-jian, LIANG Yu-yan, CHEN Wei-xiong,CHEN Rui-kai . Objective acoustic analysis of the voice in early glottic laryngeal carcinoma following laser surgery[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(4): 352-354 .

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