Effect of different operation methods on early swallowing function of patients with laryngeal cancer
10.3969/j.issn.1671-8348.2024.22.009
- VernacularTitle:不同术式对喉癌患者早期吞咽功能的影响
- Author:
Haixin LONG
1
;
Fang NAN
;
Zirong TIAN
;
Xiuya LI
;
Yongling LIU
;
Xiaohong CHEN
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京 100730
- Keywords:
laryngectomy;
swallowing function;
investigation and analysis;
laryngeal cancer;
surgical methods
- From:
Chongqing Medicine
2024;53(22):3407-3411
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of different operation methods on the early swallowing function in the patients with laryngocarcinoma.Methods A total of 138 patients with the first time of open laryngectomy in this hospital from January 2021 to December 2022 were selected as the research subjects by convenience sampling method.The patients were divided into the vertical laryngeal resection group(vertical group,n=34),horizontal laryngeal partial resection(horizontal group,26 cases),suprachloroid laryngeal par-tial resection annular hyoid epiglottis fixation group(SCPL-CHEP group,n=26)and total laryngeal resection group(total laryngeal group,n=52)according to the operation methods.The Anderson Dysphagia Scale,Syd-ney Dysphagia Scale and modified swale drinking water test were used to evaluate the swallowing function on the first day of postoperative oral feeding in the patients.Results The total scores and scores of various di-mensions of the Chinese version of Anderson Dysphagia Scale,total scores and scores of various dimensions of Sydney Swallowing Scale and the results of the modified swale drinking water test had statistical differences a-mong the various groups(P＜0.01);the above indexes had statistical difference between the total laryngeal group and the other groups(P＜0.01),but the above indexes had no statistical difference between the two groups in the horizontal group,vertical group and SCPL-CHEP group(P＞0.05).Conclusion In the patients with laryngeal cancer undergoing open laryngectomy,the dysphagia is less severe during early eating after to-tal laryngectomy,which has little impact on life.
