15例声带纤维沉积症的临床特征分析

详细信息

收稿日期: 2018-01-01

Clinical analysis of vocal fold firbrous mass

- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of University of Science and Technology China, Anhui Provincial Hospital, Hefei, 230001, China

More Information

Received Date: 01 January 2018

摘要: 目的:探讨声带纤维沉积症的喉镜表现、嗓音特点及治疗方法。方法:对15例声带纤维沉积症患者的病史资料、形态学表现、嗓音学特点、手术及病理特征进行分析。结果:声带纤维沉积症的发病可能和过度用嗓、咽喉反流有关,喉镜下声带呈现梭形外观,表面黏膜光滑,黏膜波减弱明显,对发声训练无效,手术可改善嗓音,但恢复慢。结论:声带纤维沉积症的发生和过度用嗓、咽喉反流可能有关,发声训练等保守治疗无效,手术可改善嗓音。
- 声带纤维沉积症 /
- 显微外科手术
Abstract: Objective:To explore the character of laryngoscopy finding, voice, and therapy of vocal fold fibrous mass.Method:Clinical data, morphology, voice character, surgery and pathology of 15 cases with vocal fold fibrous mass were analyzed.Result:The morbidity of vocal fold fibrous mass might be related to overuse of voice and laryngopharyngeal reflex. Laryngoscopy revealed shuttle line appearance, smoothness and decreased mucosal wave of vocal fold. These patients were invalid for voice training and might be improved by surgery, but recovery is slow.Conclusion:The morbidity of vocal fold fibrous mass might be related to overuse of voice and laryngopharyngeal reflex. Conservative treatment is ineffective for this disease, and surgery might improve.
- vocal fold fibrous mass /
- microsurgery

[1]	ROSEN C A, GARTNER-SCHMIDT J, HATHAWAY B, et al.A nomenclature paradigm for benign midmembranous vocal fold lesions[J].Laryngoscope, 2012, 122:1335-1341.
[2]	BELAFSKY P C, POSTMA G N, KOUFMAN J A.The validity and reliability of reflux finding score (RFS)[J].Laryngoscope, 2001, 111:1313-1317.
[3]	何双八, 孙国燕, 张庆翔, 等.支撑喉镜显微镜下微瓣显微缝合技术在喉良性病变中的应用[J].中国耳鼻咽喉颅底外科杂志, 2017, 23 (5):427-430.
[4]	徐文, 韩德民, 侯丽珍, 等.喉良性增生性病变的嗓音学特点及治疗转归[J].临床耳鼻咽喉头颈外科杂志, 2004, 18 (9):526-529.
[5]	POSTMA G N, JOHNSON L F, KOUFMAN J A.Treatment of laryngopharyngeal reflux[J].Ear Nose Throat J, 2002, 81:24-26.
[6]	田永胜, 关静, 李祖飞.自体成纤维细胞移植治疗声带瘢痕的实验研究[J].临床耳鼻咽喉头颈外科杂志, 2016, 30 (22):1778-1781.