两种术式治疗单侧声带麻痹的比较

目的 研究单侧声带麻痹的合适手术治疗方法及其疗效的客观评价。方法 对２３例行喉支架术（９例）及喉神经再支配术（１４例）的患者于术前及术后从声音评估、频谱分析、喉镜及喉肌电检查等几方面进行了比较观察。结果 喉支架术近远期效果均良好，但在远期效果中，又以能恢复声带厚度、弹性及肌张力的喉神经再支配术为佳，且此术式治疗声带麻痹时间较短的患者效果更好。结论 两种术式均是治疗单侧声带麻痹的有效方法，但应根据患

Treatment of the unilateral paralysis of vocal fold--comparison between laryngeal framework surgery and reinnervation]

OBJECTIVE: To compare the effects of laryngeal framework surgery and reinnervation in the treatment of unilateral paralysis vocal fold. METHODS: Twenty-three cases of unilateral vocal fold paralysis were operated with laryngeal framework surgery and reinnervation and the voice assessment, acoustic analysis, laryngoscopy, electromyography were done pre- and postoperatively. RESULTS: The short and long term curative effects of the laryngeal framework were good, but with regard to long term result, the reinnervation that can recover the thickness, elasticity and tension of vocal fold was better, and the earlier was the operation done, the better would be the result. CONCLUSION: These two operations were both effective in the treatment of unilateral paralysis of vocal fold, but it should be selected according to the requirement of patient, the pattern of damage, the degree of paralysis and movement of cricoarythenoid joint.