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目的探讨系统化语音功能训练对舌癌术后软组织缺损游离皮瓣修复患者语音清晰度及生存质量的影响。方法行舌癌病灶扩大切除术+颈淋巴清扫术+游离皮瓣转移修复术的舌癌患者68例随机均分为两组。术后1周,观察组采取系统化语音功能训练,对照组采取传统语音功能训练,比较两组患者的语音清晰度及生活质量。结果术后1、3、6个月和1年观察组患者的语音清晰度优于对照组(P<0.01);术后6个月和1年观察组患者的生活质量评分优于对照组[(756.2±52.2)分vs.(555.6±62.8)分和(906.4±68.1)分vs.(766.2±82.7)分](P<0.01)。结论系统化语音功能训练能提高舌癌术后软组织缺损游离皮瓣修复患者的语音功能及生存质量。
Objective To investigate the effects of systematic speech training on speech intelligibility and quality of life in patients with soft tissue defect and free flap repair after tongue cancer surgery. Methods Sixty-eight patients with tongue cancer who underwent extended resection of tongue cancer, neck dissection and free flap metastasis were randomly divided into two groups. One week after operation, the observation group received systematic speech training and the control group received traditional speech training. The speech intelligibility and quality of life of the two groups were compared. Results The voice intelligibility of the observation group at 1, 3, 6 months and 1 year after operation was better than that of the control group (P <0.01). The quality of life scores of the observation group at 6 months and 1 year after operation were better than those of the control group [ (756.2 ± 52.2) points vs (555.6 ± 62.8) points and (906.4 ± 68.1) points vs. (766.2 ± 82.7) points (P <0.01). Conclusions Systematicized speech training can improve speech quality and quality of life in patients with tongue-repaired soft tissue defect free flap.