【摘要】 目的 保存和恢复喉全切除术后患者的生理功能,提高其术后生活质量。方法在1995-2002年期间对38例喉癌病人喉全切除术后施行了天津睦郎式一期气管食管瘘发音重建术,并进行了相关的临床研究。男性29例,女性9例,年龄34岁-83岁。其中24例施行食管肌瓣成形术改良术式。结果 28例手术获得成功,重获具有实用价值的发音功能。平均最长发音持续时间为11.36秒。原术式(天津睦郎式)的63.6％(7/11)和改进术式的76.4％(13/17)无术后误咽发生。结论 利用声谱记录对重建音声和正常音声等进行了比较和分析,认为气管食管瘘发音的音质较为理想。更多还原

【Abstract】 OBJECTIVE To study the method to restore phoning function of patients after total laryngectomy. METHODS 38 tracheoesophageal (TE) fistulizations with Amatsus’ method for voice reconstruction following total laryngectomies have been performed in 1995-2002. There were 29 males and 9 females, age ranged from 34 to 83 years old. 24 cases were performed with bilateral esophageal muscle flaps. RESULTS 28 patients regained voice capability. The average values of the sustained vowel duration was 11.36 seconds. 7 of 11 cases with TE shunt I and 13 of 17 cases with TE bilateral esephaqeal muscle flaps did not suffer from regurgitation and aspiration. The sound spectrogram between the normal voice and the reconstructive voice were compared. CONCLUSION TE speech is a high quality voice rehabilitation technique after total laryngectomy.更多还原