声带囊肿切除术中应用声带黏膜缝合技术的疗效分析

摘要

Objective To explore the effects of mucosal suturing of vocal fold for the treatment of vocal-fold cysts. Methods Fourty vocal-fold cysts cases were included in this study. All patients underwent transoral micro laryngosurgery with the suspension laryngoscopy under general anesthesia,in which 20 cases underwent mucosal su turing of vocal fold,20 cases just underwent mucosal incision. All the patients underwent evaluation of vocal function included the perceptual Grade, Roughness, Breathness, Aesthenia, Strain(GRBAS) scale, the Voice Handicap In dex(VHI) questionnaire and objective voice analysis preoperation and postoperation. Results The voice of the pa tients underwent mucosal suturing recovered better than those without suturing. Conclusion Mucosal suturing of vocal fold for the treatment of vocal-fold cysts can successfully improve the voice quality.%目的 探讨声带黏膜缝合技术应用于声带囊肿切除术的疗效.方法 40例声带囊肿患者随机分为缝合组和未缝合组,每组20例,两组患者均在全麻支撑喉镜显微镜下用内侧微瓣法进行手术,缝合组辅以声带黏膜缝合技术于囊肿切除后缝合黏膜瓣,未缝合组囊肿切除后的创缘不缝合.于术前、术后1周、1月及3月时对两组患者分别行频闪喉镜、电子喉镜检查,并进行嗓音GRBAS、嗓音障碍指数(voice handicap index,VHI)主观评分及客观嗓音分析,比较两组结果.结果 术后不同时间电子喉镜检查显示缝合组创面愈合良好,声门闭合情况优于未缝合组;频闪喉镜检查显示缝合组声带黏膜波接近正常,声带振动优于未缝合组;术后主客观嗓音分析显示缝合组嗓音质量明显优于未缝合组.结论 声带囊肿切除术中应用声带黏膜缝合技术有利于术后声带形态的恢复,提高发声质量.