[甲状腺手术后声带功能的超声评估]
[Ultrasound assessment of vocal cords function after thyroid surgery].
作者信息
Shulutko A M, Semikov V I, Gorbacheva A V, Patalova A R, Boblak Yu A, Kulikov I O, Osmanov E G, Mansurova G T
机构信息
Sechenov First Moscow State Medical University of Ministry of Health of the Russia, Moscow, Russia.
Federal Scientific Clinical Center for Otorhinolaryngology, FMBA of Russia, Moscow, Russia.
出版信息
Khirurgiia (Mosk). 2019(7):24-28. doi: 10.17116/hirurgia201907124.
OBJECTIVE
To analyze vocal cords function after thyroid surgery by using of ultrasound examination.
MATERIAL AND METHODS
Assessment of voice quality according to GRBAS scale, ultrasound examination of vocal cords and indirect laryngoscopy were performed in 57 patients after thyroid surgery.
RESULTS
Postoperative indirect laryngoscopy and ultrasound revealed normal mobility of vocal cords in all patients. However, 98.3% of patients subjectively noted deterioration of voice quality due to hoarseness and fatiguein early and long-term period, respectively. Complete restoration of vocal function occurred after 6 months postoperatively. Impaired voice quality is probably due to edema of vocal cords after intubation that is manifested by unclear contours during ultrasound. Ultrasound is useful to diagnose shortening and displacement of paretic vocal cords.
CONCLUSION
Ultrasound of vocal cords could be alternative to indirect laryngoscopy for postoperative assessment of vocal cords function in patients after thyroid surgery.
目的
通过超声检查分析甲状腺手术后声带功能。
材料与方法
对57例甲状腺手术后患者进行GRBAS量表嗓音质量评估、声带超声检查及间接喉镜检查。
结果
术后间接喉镜及超声检查显示所有患者声带活动正常。然而，分别有98.3%的患者在早期和长期主观上感觉嗓音质量因嘶哑和疲劳而恶化。术后6个月嗓音功能完全恢复。嗓音质量受损可能是由于插管后声带水肿，超声表现为轮廓不清。超声有助于诊断麻痹性声带的缩短和移位。
结论
声带超声可替代间接喉镜用于甲状腺手术后患者声带功能的术后评估。
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