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目的:评价早期喉癌激光术后对声带不同功能特征的影响。方法:通过计算机网页检索医学相关的主要数据库:PubMed、Web of Science和Embase数据库,由2位工作人员同时对搜索的相文献进行阅读和筛选,从筛选的文献中提取与研究目的相关的数据。对提取的数据用Stata 14.0软件进行网状Meta分析,获取早期喉癌激光术后对声带不同声音特性的影响。结果:通过文献检索和筛选结果共纳入符合要求的文献9篇,统计学分析结果表明,激光手术治疗早期喉癌能够显著降低声嘶评估量表和嗓音障碍指数评估总分。结论:激光治疗早期喉癌术后,可以降低声嘶评估量表和嗓音障碍指数评估总分,提高术后声带总体功能,改善患者术后的生活质量,但喉癌术后早期声带在功能和生理方面没有明显的改善。
OBJECTIVE: To evaluate the effect of laryngeal cancer laser on the different functional characteristics of vocal cord after laser surgery. METHODS: The major medical databases, PubMed, Web of Science and Embase, were searched on the computer web site. Two staff members read and screened the searched phase documents at the same time, and extracted the relevant data from the screened papers. The data were analyzed by mesh meta-analysis with Stata 14.0 software to obtain the effect of different laryngeal sounds on the vocal cords after laryngeal cancer surgery. Results: Nine literatures with satisfactory results were obtained through literature search and screening. The results of statistical analysis showed that laser surgery could significantly reduce the assessment of hoarseness scale and voice disorder index in early laryngeal cancer. Conclusion: Laser treatment of early laryngeal cancer can reduce the total score of hoarseness assessment scale and voice disorder index, improve the overall postoperative vocal cord function and improve the postoperative quality of life. However, early postoperative laryngeal vocal cord function and Physiological no significant improvement.