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[喉切除患者发声功能的超声诊断]

[Ultrasound diagnosis of the phoniatric performance of laryngectomized patients].

作者信息

Böhme G

机构信息

HNO-Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München.

出版信息

Laryngol Rhinol Otol (Stuttg). 1988 Dec;67(12):651-6.

PMID:3062284
Abstract

Sonography of the pharyngo-oesophageal segment and pseudoglottis was performed in 10 laryngectomised patients with varying oesophageal voice development. the post-laryngectomal telephone comprehension test served as a yardstick for assessing the quality of the oesophageal voice. Sonographic B and M mode techniques in transverse section provided a good overall assessment of the function of the pharyngo-oesophageal segment. Likewise, a clear picture of the pseudoglottis can be obtained and rapid motoric effects in phonation easily seen. Each vocal demonstrates a typical sonographic pattern in the M-mode. There is a clear correlation between increasing quality of the oesophageal voice and differentiation of echo amplitude. Our experience to date recommends the use of sonography of the pharyngo-oesophageal segment and pseudoglottis in laryngectomised patients for the phoniatric assessment of oesophageal voice functioning.

摘要

对10例食管发音发育程度各异的喉切除患者进行了咽食管段和假声门的超声检查。喉切除后的电话理解测试作为评估食管发音质量的标准。横断面上的超声B型和M型技术能对咽食管段功能进行良好的整体评估。同样,可以获得假声门的清晰图像,并且在发声时能轻易观察到快速的运动效应。每个发声在M型中都呈现出典型的超声模式。食管发音质量的提高与回声幅度的差异之间存在明显的相关性。我们目前的经验建议对喉切除患者使用咽食管段和假声门的超声检查来进行食管发音功能的语音评估。

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