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喉癌保守性部分切除术的主要原则,不仅要保住呼吸和吞咽功能,还要保存语声。有关保守性手术问题已创立了不少方法并已争论了多年,但文献中很少提及影响术后语声的确切因素。本文报道了对喉部分切除病人异常发声的检测方法,俾能客观地作出评价,以冀由此对重建手术和语言康复方法的改进有所帮助。作者等观察分析了20例喉部分切除后声门重建病例,男17,女3。其手术方法根据不同的病变范围确定,包括保留和切除杓状软骨以及切除前连合的半喉切除术。通过光导纤维喉镜检查并作磁带录象,发现产生语声的机制部分是由于声
The main principle of conservative surgical resection of laryngeal cancer, not only to maintain the breathing and swallowing function, but also save the voice. There have been a number of approaches to conservative surgery that have been debated and debated for many years, but few of the exact references to post-operative speech have been mentioned in the literature. This article reports on the detection of abnormal vocalizations in patients undergoing partial laryngectomy so as to objectively evaluate them so that they may be helpful in the improvement of reconstructive surgery and language rehabilitation methods. The authors observed and analyzed 20 cases of partial laryngectomy after glottic reconstruction cases, male 17, female 3. The procedure is based on a variety of lesion ranges, including resection and resection of the arytenoid cartilage and resection of the pre-cystectomy. Through fiberoptic laryngoscopy and videotape recording, it was found that the mechanism for producing speech was partly due to the sound