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題 名 | 經皮瓣重建之舌癌患者術後口語清晰度之探討=An Investigation on Speech Intelligibility of Patients after Glossectomy with Flap Reconstruction |
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作 者 | 陳怡仁; 蕭振仁; 蔡森田; | 書刊名 | 臺灣聽力語言學會雜誌 |
卷 期 | 27 2011.06[民100.06] |
頁 次 | 頁1-12 |
分類號 | 416.894 |
關鍵詞 | 口腔癌; 重建; 口語表現; 口語清晰度; 口語接受度; Oral cancer; Reconstruction; Speech performance; Speech intelligibility; Speech acceptability; |
語 文 | 中文(Chinese) |
中文摘要 | 舌癌的治療一般是以手術治療為主,而舌癌患者術後在口語表現上會有程度不一的缺損,而導致溝通的障礙。因此,本研究主要目的,在了解經皮瓣重建後之舌癌患者於術後口語清晰度表現上的改變,作為日後舌癌患者言語表現的評估標準。研究方法是以被診斷為舌癌並接受手術治療及大腿自由皮瓣重建後的病患為主。三組對舌癌患者熟悉度不同的評估者以聽寫法及評分量表法來評量舌癌患者術後的口語表現。口語表現的評量主要是以患者術後的時間及切除體積大小為參數,針對患者的口語清晰度與口語接受度為主,以錄音、錄影方式紀錄下來,並量化其正確性。最後將所得資料,參酌病患之治療方式加以分析。舌癌患者術後口語清晰度的表現上,詞彙的清晰度顯著的低於短句與自發性言語的清晰度。切除體積、術後一年以內與一年以上,在詞彙清晰度的表現上,沒有顯著之差異。口語接受度的評量結果顯示,不同聽者組間及組內對於言語接受度評量的一致性呈現顯著相關。另外,口語清晰度與言語接受度此兩種評量間的結果,也呈現顯著的正相關,顯示此兩種評量方式對於患者口語表現的評量有顯著的一致性。舌癌患者術後的口語表現中詞彙的影響程度最大,因此,評量舌癌患者術後的口語表現應以其詞彙的改變程度為主要依據。本研究所得結果,將有助於了解舌癌患者術後口語表現改變的情形,並作為日後舌癌患者口語清晰度評量標準的參考。 |
英文摘要 | Tongue cancer is treated mostly with surgery. Patients suffer from different degrees of speech impairment after glossectomy, resulting in great impact on communication. The purpose of this investigation is to establish an objective quantitative measurement to evaluate the changes on speech intelligibility of tongue cancer patients after surgery. The subjects of this study were tongue cancer patients who were diagnosed and received surgery with anterolateral thigh flap reconstruction. Three groups of raters with different degrees of familiarity with tongue cancer patients were involved to evaluate their speech performance after surgery based on the write-down paradigm and the rating-scale paradigm. Speech performance was measured by two parameters: time after surgery and resection size. Data were tape-recorded and video taped for a quantitative measurement and analyzed according to surgical selections. The results showed that lexical intelligibility of the subjects were significantly poorer than short sentences and spontaneous speech. No significant difference was noticed among resection size, time after surgery and lexical intelligibility. The consistency of speech acceptability was significantly related inter- and intra-groups. Also, the results of speech intelligibility and acceptability were positively related, indicating there was a consistency between these two aspects. Lexical intelligibility was the most influenced one for tongue cancer patients after surgery. Therefore, speech performance evaluation should focus on the changes of lexical intelligibility. It is expected that the findings of this research helps to understand the changes of speech intelligibility of tongue cancer patients after surgery, and established a measurement standard on speech intelligibility. |
本系統中英文摘要資訊取自各篇刊載內容。