갑상선 수술 전 환자의 불안 정도가 수술 후 음성에 미치는 영향 : 예비연구

• 영문명: Impact of anxiety on voice after thyroidectomy : a preliminary study
• 발행기관: 대한두경부종양학회
• 저자명: 이형신(Hyoung Shin Lee) 이상신(Sang Shin Lee) 김화빈(Hwa Bin Kim) 오다솔(Dasol Oh) 김지수(Ji Su Kim) 전석원(Suk Won Jeon) 김성원(Sung Won Kim) 이강대(Kang Dae Lee)
• 간행물 정보: 『대한두경부종양학회지』제33권 제2호, 17~22쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2017.11.30

영문 초록

Background and Objectives: Voice change after thyroidectomy may develop without injury of recurrent laryngeal nerve. Psychogenic or emotional factors related to voice change after thyroidectomy has been rarely studied. In this study, we sought to analyze the impact of anxiety on early state of post-thyroidectomy voice change. Materials and Methods: We made a retrospective chart review of 36 patients who underwent thyroidectomy for papillary thyroid carcinoma and voice exam before surgery, 2 weeks after and 1 month after surgery. All patients included in the study answered a questionnaire for State-Trait Anxiety Inventory ; STAI-KYZ (form Korean YZ). Clinico-pathologic factors and parameters of voice analysis were reviewed to analyze correlation to the anxiety index. Results: No differences were identified between clinicopathologic factors and preoperative parameters of voice analysis between patients with higher and lower level of anxiety. Noise to harmonic ratio (NHR) was higher in those patients with higher level of anxiety, 2 weeks after surgery (p=0.043). However, none of the parameters showed any difference 1 month later. Conclusion: With limited number of patients and short period of follow up, significant impact of preoperative anxiety on postoperative voice change after thyroidectomy could not be identified in this preliminary study.

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대상 및 방법

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키워드

갑상선 유두상암 갑상선 절제술 음성 불안 Papillary thyroid carcinoma Thyroidectomy Voice⋅ Anxiety