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42例声带麻痹的临床分析
引用本文:刘公汉,孔勇刚,杨强,马哲兰. 42例声带麻痹的临床分析[J]. 武汉大学学报(医学版), 1997, 0(2)
作者姓名:刘公汉  孔勇刚  杨强  马哲兰
作者单位:Department of ENT,First Affiliated Hospital,Hubei Medical University,Wuhan 430060,China
摘    要:分析42例声带麻痹病例,特发性麻痹最多,甲状腺切除和外伤是重要的致病因素。大部分单侧声带麻痹者在6个月后出现发声代偿,未有代偿者以声带内注射术、声带内移术治疗可改善发音质量,电起搏动态治疗单侧声带麻痹有待进一步研究。双侧声带麻痹采用声带外移术治疗,Woodman术发音、呼吸效果较好,一侧声带切除和T型管扩张可获得安全的气道,神经肌蒂移植术目前尚无肯定的效果。

关 键 词:声带麻痹;病例报告

Clinical Analyses of 42 Vocal Cord Paralysis
Liu Gonghan,Kong Yonggang,Yang Qiang,et al. Clinical Analyses of 42 Vocal Cord Paralysis[J]. Medical Journal of Wuhan University, 1997, 0(2)
Authors:Liu Gonghan  Kong Yonggang  Yang Qiang  et al
Abstract:cases of vocal cord paralysis were analysed. Most of them suffered from idiopathic paralysis. Thyroidectomy and trauma were important pathogenectic factors. A greater part of the patients with unilateral vocal cord paralysis showed automatic compensatory mechanism after 6 months. Patients of incompensation were treated by internal injection into the vocal cord and internal transfer of the vocal cord moved. The operation can improve quality of phonation. Electrical pacing for dyhamic treatment of unilateral vocal cord paralysis requires further study. Bilateral vocal cord paralysis as treated by the external removal of the vocal. Woodman's operation obtained better effects on phonation and respiration. Unilateral Chordectomy and dilatation of T shaped tube assured safe airway. Operation of muscle neurotization shows no definite effect at present.
Keywords:vocal cord paralysis  cases report  
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