CAJ | 학술논문

目的：探讨嗓音障碍指数（voicehandicap index，VHI）用于支撑显微喉镜和纤维喉镜治疗声带囊肿后嗓音恢复的评估，并验证 VHI的实用性。方法选取确诊为声带囊肿并接受手术切除的患者60例，其中在支撑显微喉镜下治疗30例（显微镜组），在纤维喉镜下治疗30例（纤维镜组），2组患者采用 VHI量表对手术前后的嗓音恢复进行自我评估，内容包括功能（F）、生理（P）、情感（E）及总分（TVH）评分。结果术后1周，2组 F、E、TVH 评分均较术前明显降低（P＜0．05）；术后1个月，2组 F、P、E、TVH 评分均较术前明显降低（P＜0．05），纤维镜组 F、P、TVH评分高于显微镜组（P＜0．05）。结论 VHI可主观反映患者的嗓音障碍程度，可用于治疗前对嗓音障碍程度的估计，治疗后效果评价。
목적：탐토상음장애지수（voicehandicap index，VHI）용우지탱현미후경화섬유후경치료성대낭종후상음회복적평고，병험증 VHI적실용성。방법선취학진위성대낭종병접수수술절제적환자60례，기중재지탱현미후경하치료30례（현미경조），재섬유후경하치료30례（섬유경조），2조환자채용 VHI량표대수술전후적상음회복진행자아평고，내용포괄공능（F）、생리（P）、정감（E）급총분（TVH）평분。결과술후1주，2조 F、E、TVH 평분균교술전명현강저（P＜0．05）；술후1개월，2조 F、P、E、TVH 평분균교술전명현강저（P＜0．05），섬유경조 F、P、TVH평분고우현미경조（P＜0．05）。결론 VHI가주관반영환자적상음장애정도，가용우치료전대상음장애정도적고계，치료후효과평개。
Objective To evaluate the postoperative voice recovery with voice handicap index (VHI)in patients undergoing surgery under suspension micro-laryngoscope and fiber laryngo-scope for vocal fold cysts,and to verify the practicability of VHI.Methods Sixty patients with vocal fold cysts were treated with surgical resection under suspension micro-laryngoscope(micro-scope group,n=30)or fiber laryngoscope(fiberscope group,n=30).The postoperative voice re-covery was self-assessed by using VHI scale,including functional(F),physiological(P),emotional (E)and total(TVH)scores.Results The F,E and TVH scores significantly decreased in both groups 1 week after operation(P<0.05).The F,P,E and TVH scores significantly decreased in both groups 1 month after operation(P<0.05).Compared with microscope group,the F,P and TVH scores significantly increased in fiberscope group(P<0.05).Conclusion The VHI can sub-j ectively reflect the degree of voice disorders in patients with vocal fold cysts.Therefore,it can be used for preoperative assessment of the degree of voice disorders and postoperative evaluation of the therapeutic efficacy.