微缝合技术结合嗓音疗法对莱因克水肿患者的临床疗效。

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-05-01 DOI:10.1016/j.jvoice.2022.11.029

Zhitao Fan, Wenxin Dong, Yabo Wang, Jinglei Fang, Xuexia Wang, Xiaolan Zhang

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引用次数: 0

摘要

目的：本研究旨在探讨微缝合技术结合语音治疗对莱因克水肿患者的临床疗效：方法：选取2017年4月至2021年8月期间收治的46例Reinke水肿患者，随机分为单纯手术组和联合治疗组。采用主观和客观嗓音分析法对单纯手术组和联合治疗组进行术前和术后3个月的评估：与术前相比，术后 3 个月的嗓音参数有明显改善。联合治疗组的 G 和 R 评分、嗓音障碍指数-10（VHI-10）和抖动参数较低，而联合治疗组的 F0 和最大发音时间（MPT）有明显变化，联合治疗组的基频扰动（抖动）和 MPT 声学参数低于单纯手术组（P < 0.05）：结论：显微缝合技术是消除声带手术创面、促进粘膜恢复的首选方法，与嗓音治疗相结合更有助于全面提高患者的发音质量。

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The Clinical Efficacy of Microsuture Technique Combined With Voice Therapy in Patients with Reinke's Edema

Objective

This study aimed to explore the clinical efficacy of the microsuture technique combined with voice therapy in patients with Reinke's edema.

Methods

46 patients with Reinke's edema admitted between April 2017 and August 2021 were selected and randomly divided into simple surgical and combined therapy groups. The simple surgical and combined therapy group were evaluated preoperatively and at 3 months after surgery using subjective and objective voice analysis.

Results

Compared with the preoperative state, there was a significant improvement in the acoustic parameters 3 months postoperatively. The G and R scores, Voice Handicap index-10 (VHI-10), and jitter parameters of the combined therapy group were lower, whereas F0 and maximum phonation time (MPT), changed significantly in the combined therapy group, fundamental frequency perturbation (jitter), and MPT acoustic parameters of the combined therapy group were lower than those of the simple surgery group (P < 0.05).

Conclusion

The microsuture technique is preferable for eliminating vocal folds surgical wounds and promoting mucosal recovery, and combined with voice therapy is more helpful to comprehensive improve the quality of phonation.

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.