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[声带萎缩患者喉部嗓音及空气动力学活动的评估]

[The evaluation of voice and aerodynamic activity of larynx in patients with vocal cords atrophy].

作者信息

Kosztyła-Hojna Bozena

机构信息

Katedra i Klinika Otolaryngologii AM w Białymstoku.

出版信息

Pol Merkur Lekarski. 2005 Feb;18(104):151-5.

Abstract

Atrophic changes of vocal folds may cause serious disturbances of voice quality called dysphonias. The group of 50 patients with advanced neoplasmatic disease, anorexia and elderly patients were researched. In order to assess voice quality, usual subjective diagnostic methods were used and also modern techniques of imagine of the larynx. Phonation function was examined by means of factors aerodynamic laryngeal function. The data were then analysed statistically. We found usefulness of primary, subjective examination of laryngeal phonation function in the diagnosis of vocal folds atrophy. The videolaryngostroboscopy (VLSS) allowed to distinguish clearly the organic dysphonia with the vocal folds atrophy. The evaluation of factors such as MFR, PQ, VVI showed coexistence of hypofunctional component in (phonation) in patients with the vocal folds atrophy which is important in therapy of this kind of dysphonia.

摘要

声带萎缩性改变可能会导致严重的嗓音质量障碍,即发声障碍。对50例患有晚期肿瘤疾病、厌食症的患者以及老年患者进行了研究。为了评估嗓音质量,采用了常规主观诊断方法以及现代喉部成像技术。通过空气动力学喉部功能因素检查发声功能。然后对数据进行统计分析。我们发现喉部发声功能的初步主观检查在声带萎缩诊断中具有实用性。视频喉镜频闪检查(VLSS)能够清晰地区分伴有声带萎缩的器质性发声障碍。对诸如最大发声频率(MFR)、嗓音质量(PQ)、嗓音振动指数(VVI)等因素的评估表明,声带萎缩患者在发声时存在功能减退成分,这在这类发声障碍的治疗中很重要。

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