对接受腺样体切除术后的患者进行发音矫正。前瞻性比较研究

E. Krasavina, E. Choynzonov, D. Kulbakin, V. O. Tskhai, L. N. Balatskaya
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引用次数: 0

摘要

本研究的目的是比较不做整形手术和做了整形手术的龟头切除术后患者的发音矫正效果。材料和方法。研究对象包括 56 名经组织学证实的 III - IV 期口腔癌和口咽癌患者。所有患者被分为两组:腺体切除术后接受整形手术的患者和腺体切除术后未接受整形手术的患者。在康复期间以及完成言语治疗 6 个月和 12 个月后,对发音纠正的动态数据进行了评估。各项参数的评分范围为0至4分,0分表示无发音障碍,4分表示最大发音障碍。结果。所有患者术后均出现绝对(4 分)言语发音障碍。对接受了臀部切除整形手术的患者进行言语康复训练后,其舌尖后音的发音得到了明显改善:[K]、[G]、[K']、[G'],啸音(舌齿音):[S]、[S']、[Z ]、[Z'],前舌音:[T]、[Т']、[D]、[D'] 和嘶嘶声:[Sh、[Zh] (P<0.05)。在未进行整形手术的情况下接受了舌骨切除术的患者中,只有在纠正了舌后硬音后,发音才会有统计学意义上的显著改善:[K]、[G](P<0.05)。结论所获得的结果突出表明,为了获得更好的功能恢复效果和改善患者的语言功能质量,在进行龟头切除术后进行重建手术非常重要。
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Sound pronunciation correction in patients after glossectomy. Сomparative prospective study
The purpose of the study was to compare the effectiveness of correction of sound pronunciation in patients after glossectomy without reconstructive surgery and glossectomy with reconstructive surgery. Material and Methods. The study included 56 patients with histologically verified stage III –IV oral cavity and oropharyngeal cancer. All patients were divided into two groups: those undergoing reconstructive surgery after glossectomy and those not undergoing reconstructive surgery after glossectomy. Data on the dynamics of sound pronunciation correction were assessed during the rehabilitation period, as well as 6 and 12 months after completion of speech therapy. The parameters were scored from 0 to 4, where 0 indicated no speech sound disorders, and 4 indicated maximum disorders. Results. All patients showed absolute (4 points) speech sound disorders after surgery. Speech rehabilitation in patients, who underwent reconstructive surgery after glossectomy, resulted in a significant improvement in the pronunciation of posterior lingual sounds: [K], [G], [K’], [G’], whistling (lingual-dental) sounds: [S], [S’], [Z ], [Z’], front-lingual sounds: [T], [Т’], [D], [D’] and hissing sounds: [Sh, [Zh] (p<0.05). In patients, who underwent glossectomy without reconstructive surgery, a statistically significant improvement in sound pronunciation was observed only after correcting posterior lingual hard sounds: [K], [G] (p<0.05). Conclusion. The results obtained highlight the importance of reconstructive surgery after glossectomy to achieve better results of functional restoration and improve the quality of speech function of patients.
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来源期刊
Siberian journal of oncology
Siberian journal of oncology Medicine-Oncology
CiteScore
0.40
自引率
0.00%
发文量
117
审稿时长
8 weeks
期刊介绍: The main objectives of the journal are: -to promote the establishment of Russia’s leading worldwide positions in the field of experimental and clinical oncology- to create the international discussion platform intended to cover all aspects of basic and clinical cancer research, including carcinogenesis, molecular biology, epidemiology, cancer prevention, diagnosis and multimodality treatment (surgery, chemotherapy, radiation therapy, hormone therapy), anesthetic management, medical and social rehabilitation, palliative care as well as the improvement of life quality of cancer patients- to encourage promising young scientists to be actively involved in cancer research programs- to provide a platform for researches and doctors all over the world to promote, share, and discuss various new issues and developments in cancer related problems. (to create a communication platform for the expansion of cooperation between Russian and foreign professional associations).- to provide the information about the latest worldwide achievements in different fields of oncology The most important tasks of the journal are: -to encourage scientists to publish their research results- to offer a forum for active discussion on topics of major interest - to invite the most prominent Russian and foreign authors to share their latest research findings with cancer research community- to promote the exchange of research information, clinical experience, current trends and the recent developments in the field of oncology as well as to review interesting cases encountered by colleagues all over the world- to expand the editorial board and reviewers with the involvement of well-known Russian and foreign experts- to provide open access to full text articles- to include the journal into the international database- to increase the journal’s impact factor- to promote the journal to the International and Russian markets
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