河南科技大学学报（医学版）Issue(2)：100-104,5.
V 形喉硅胶膜在声门型喉癌中的应用研究
Application Study on V-shaped Laryngeal Silica Membrane in Glottic Laryngeal Cancer
漫一凡 1张超 1周延辉 1李怡楠2
作者信息
- 1. 河南科技大第一附属医院耳鼻咽喉科，河南洛阳 471003
- 2. 汝州市妇幼保健院，河南汝州 467500
- 折叠
摘要
Abstract
Objective To investigate the applicational value and curative effect between T-shaped silicone membrane and V-shaped silicone membrane in early glottic laryngeal cancer after laryngofissure cardectomy. Methods 60 patients with early glottic laryngeal cancer on T1 ~T2 stage from July 2012 to March 2015 treated in our hospital were included.All the patients accepted the laryngofissure cordectomy,in which 34 patients were placed T-shaped silicone membrane and 26 patients were placed V-shaped silicone membrane.After operation we analysed the differences on pain degree,respiratory function,phonation, swallowing function and mucosa recovery between the two groups of patients. Results Comparing postoperative pain degree via using numeric rating scales (NRS),the differences between the two groups had statistical significance (P <0.05).In gastric tube removed time,the T-shaped silicone membrane group was longer than that of the V-shaped silicone membrane group,and the differences between the two groups had statistical significance (P <0.05).Compared phonation function,the mean of Voice Handicap Index (VHI) in the T-shaped silicone membrane group and the V-shaped silicone membrane group had statistical significance (21.13 ±6.10 Vs 18.36 ±7.28,P < 0.05 ).Most patients in both groups were mild-to-moderate abnormal degree when compare the index of total hoarse voice degree G score,and difference between two groups on total hoarse voice degree G score was statistically significant (P <0.05).Conclusion Our results prove that silica gel membrane implantation can significantly avoid laryngeal stenosis due to the scarring after bilateral vocal cord lesions resection.The V-shaped silicon membrane from the structure of the glottis normal consider state can effectively restore the patient′s voice,mild postoperative pain,rapid recovery,fewer complica-tions,and has a lot to improve on the postoperative laryngeal function preservation and the quality of life of patients.关键词
声门型喉癌/硅胶膜/喉裂开术/喉功能Key words
glottic laryngeal cancer/silica membrane/laryngofissure/laryngeal function分类
医药卫生引用本文复制引用
漫一凡,张超,周延辉,李怡楠..V 形喉硅胶膜在声门型喉癌中的应用研究[J].河南科技大学学报（医学版）,2015,(2):100-104,5.
