声带麻痹病因分析和治疗方法的探讨

目的：寻找声带麻痹的病因和有效的治疗方法。方法：分析65例声带麻痹患者的临床资料,65例患者均经间接喉镜、动态喉镜或电子喉镜检查;其中31例行杓状软骨拨动术治疗。结果：由颈、胸部肿瘤引起声带麻痹14例;感染引起9例;颈、胸、腹部手术引起16例;气管插管引起12例;胃管插管引起3例;不明原因11例。治疗后声带麻痹消失37例,好转1例,有效率为58．46％;无效27例。结论：临床上对声音嘶哑的患者,应进行常规的间接喉镜、动态喉镜或电子喉镜检查。对有声带麻痹的患者应尽早在间接喉镜、直接喉镜或支撑喉镜下行杓状软骨拨动术。

The pathogenesis and treatment exploration of vocal cord paralysis

Objective:To investigate the causes and effective treatment of vocal cord paralysis(VCP).Method:Sixty five patients with VCP in our hospital in recent 10 years were analyzed. All the patients underwent examination by indirect laryngoscope, stroboscopy or electrolaryngostroboscopy, of which, 31 cases were operated by stiring arytenoid cartilage.Result:Fourteen cases with VCP were caused by neck and thoracic tumor;Nine cases were caused by infectations;sixteen cases were caused by neck, thoracic, abdominal openations;twelve cases were caused by trachea intubation; Three cases were caused by gastric intubation; Eleven cases were caused without obvious reason. All the symptoms of VCP were cured after treatment in 37 cases. The improvement rate of hoarseness was 58.46 %.Conclusion:Patients with hoarseness should be routinely examinated by indirect laryngoscope, stroboscopy or electrolaryngostroboscopy. Arytenoid cartilage of patients with VCP should be stired by indirect laryngoscope or direct laryngoscope or self retaining laryngoscope as early as possible.