Kesteloot K, Nolis I, Huygh J, Delaere P, Feenstra L
Center for Health Services Research, K. U. Leuven, Belgium.
Acta Otorhinolaryngol Belg. 1994;48(4):387-94.
The hospital costs and the effects on speech are compared for tracheoesophageal (TE) speech and esophageal (E) speech in laryngectomy patients. TE-speech is more intelligible and the rehabilitation is faster (four versus nine months), but it is more expensive for the hospital. E-speech needs more speech rehabilitation sessions (average of 23,422 BF/patient) than TE-speech (7,157 BF). TE-speech involves primary (6,192 BF) or secondary placement (25,357 BF), replacement (average of 19,443 BF/patient/year) and in about ten percent closure of the fistula (39,135 BF/patient) and switching over to E-speech. On the basis of these data the expected average costs per patient can be calculated. These are definitely higher for the TE-speech than for E-speech.
对喉切除患者的气管食管（TE）语音和食管（E）语音的住院费用及对语音的影响进行了比较。TE语音更易理解，康复更快（4个月对9个月），但住院费用更高。E语音比TE语音需要更多的语音康复疗程（平均每位患者23,422比利时法郎）（TE语音为7,157比利时法郎）。TE语音涉及初次植入（6,192比利时法郎）或二次植入（25,357比利时法郎）、更换（平均每位患者每年19,443比利时法郎）以及约10%的瘘管闭合（每位患者39,135比利时法郎）并转换为E语音。根据这些数据，可以计算出每位患者的预期平均费用。TE语音的费用肯定高于E语音。
