以声嘶为首发症状的甲状腺良性肿物治疗经验

汤苏成; 王跃建; 陈伟雄; 朱肇峰; 何发尧; 张剑利

doi:10.13201/j.issn.1001-1781.2014.09.016

以声嘶为首发症状的甲状腺良性肿物治疗经验

- 佛山市第一人民医院耳鼻咽喉-头颈外科(广东佛山 528000)

详细信息

通讯作者: 王跃建, E-mail:wyjian@fsyyy.com

中图分类号: R736.1

收稿日期: 2013-08-14

Treatment for benign thyroid nodules with hoarseness as primary symptom

- Department of Otolaryngology-Head and Neck Surgery, the First People's Hospital of Foshan, Foshan, 528000, China

More Information

Corresponding author: WANG Yuejian, E-mail: wyjian@fsyyy.com

Received Date: 14 August 2013

摘要

摘要: 目的:探讨以声嘶为首发症状的甲状腺良性结节的手术疗效。方法:12例以声嘶为首发症状就诊的甲状腺良性结节患者,行同侧甲状腺次全切除加喉返神经解剖术,比较术前、术后患者纤维喉镜检查、嗓音分析结果,分析声带活动及声音质量,对术前、术后患者的基频微扰、振幅微扰及嗓音障碍严重程度指数进行统计分析。结果:12例患者术后声嘶明显好转,声带恢复活动。术后1个月患者基频微扰、振幅微扰及嗓音障碍严重程度指数与术前比较均差异有统计学意义(均P<0.01)。结论:甲状腺良性结节可导致声带麻痹及声嘶,早期诊断及积极手术探查能有效改善患者的声音质量。
- 声嘶 /
- 甲状腺良性结节 /
- 喉返神经 /
- 嗓音分析
Abstract: Objective:To investigate the effect of operation on Benign thyroid nodules with hoarseness as primary symptom. Method:Twelve patients were underwent the operation of subtotal thyroidectomy and exposing of recurrent laryngeal nerve.We evaluating the effect by fibrolaryngoscope and voice acoustic analysis before and after operation.Result:All the 12 patients underwent surgery successfully. The hoarseness improved obviously and vocal cords were reactivate. Jitter,shimmer and dysphonia severity index showed significant differencepre and one month after surgery. Conclusion:Benign thyroid nodules could also cause vocal cord paralysis and hoarseness, the effect can be satisfying by subtotal thyroidectomy and exposing of recurrent laryngeal nerve if it can be early diagnosed.
- hoarseness /
- benign thyroid nodules /
- recurrent laryngeal nerve /
- voice acoustic analysis

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参考文献(6)

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