论文部分内容阅读
目的探讨同期Blom-Singer发音重建术在喉切除术后的应用价值。方法 1998年11月至2001年6月因喉癌行全喉切除同期Blom-Singer发音重建术的患者36例。结果经随访半年以上,26例发音效果良好(72.2%)。失败者中5例因脱管而采用外置式气动发音管(喇叭仔);2例改用食管音,其余用手写交流。结论全喉切除术同期Blom-Singer发音重建术确实为患者解决全喉切除术后交流困难的痛苦。为提高发音重建术的效果,应慎重选择病例,安装时测距力求准确并注重门诊指导发音及复查。
Objective To investigate the value of Blom-Singer’s reconstruction in laryngectomy during the same period. Methods Thirty-six patients undergoing total laryngectomy with Blom-Singer phonotherapy from November 1998 to June 2001 were performed. Results After more than six months follow-up, 26 patients had good pronunciation (72.2%). Among the losers, 5 patients used external pneumatic audiotape (trumpet) due to detachment, 2 patients switched to esophageal, and the rest were handwritten. Conclusions Concurrent total laryngectomy with Blom-Singer reconstruction is indeed the treatment of symptomatic pain after total laryngectomy. In order to improve the effect of phonological reconstruction, patients should be carefully selected, the installation of distance to strive to accurately and pay attention to out-patient guidance pronunciation and review.