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摘要: 目的 探究正常人群喉的声门比例(GP)及性别差异。方法 选择2017年1月-2019年12月在解放军总医院第六医学中心就诊的200例喉部结构正常的患者作为实验组, 其中组1包括100例女性, 组2包括100例男性; 选择Pontes文章中的对照组60例, 30例女性设为组3, 30例男性设为组4。结果 组1的GP值为0.78~1.76, 平均1.24;组2的GP值为0.82~2.20, 平均1.37;组3的GP值为0.91~1.20, 平均1.04;组4的GP值为1.07~1.44, 平均1.21。统计分析4组数据均呈正态分布; 组1、组2、组3、组4标准差分别为0.16、0.26、0.08和0.10, 方差齐性检验P < 0.05;采用Games-Howell检验进行多组分析, 组1与组2, 组3与组4, 组1与组3, 组2与组4, 统计分析4对数据, 结果均显示P < 0.05, 提示存在统计学差异。结论 从整体上看, 男性组的GP均值大于女性, 但不是所有男性GP值均大于女性; 在高GP值区间内, 男性占比大, 在低GP值区间内, 女性占比大。以往多将男性和女性作为两个整体, 对喉部和声门进行分析, 建议在探讨声门大小以及相关疾病时, 更应该注重个体的差异性。Abstract: Objective The aim of this study is to explore the glottic proportion(GP) and gender difference in Chinese subjects with normal larynx.Methods Two hundred patients with normal larynx in Sixth Medical Center of PLA General Hospital from January 2017 to December 2019 were selected as the experimental group. Group 1 included 100 females and group 2 included 100 males. Sixty patients with normal larynx in the Pontes article were selected as the control group, including 30 females as group 3 and 30 males as group 4.Results The GP range in group 1 was 0.78-1.76, with a mean of 1.24; 0.82-2.20 in group 2, with a mean of 1.37; 0.91-1.20 in group 3, with a mean of 1.04; 1.07-1.44 in group 4, with a mean of 1.21. Statistical analysis showed that the data of the four groups were normal distribution, the standard deviation was 0.16 in group 1, 0.26 in group 2, 0.08 in group 3, 0.10 in group 4, and the test of homogeneity of variance was P < 0.05. Games-Howell test was used for multi-group analysis, including group 1 and group 2, group 3 and group 4, group 1 and group 3, group 2 and group 4. The statistical results of the four groups all showed P < 0.05, indicating that there were statistical differences.Conclusion On the whole, the average GP of male group was higher than that of female, but not all males have a greater GP value than females. In the range of high GP value, males accounted for a large proportion, while in the range of low GP value, females accounted for a large proportion. In the past, most articles regard men and women as two groups to study the glottic proportion, and it was suggested that more attention should be paid to individual differences when discussing glottic proportion and related laryngeal diseases.
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Key words:
- glottic proportion /
- vocal cords /
- larynx
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表 1 男性组和女性组的GP值比较
x±s 组别 例数 女性组 男性组 P 实验组 200 1.24±0.16 1.37±0.26 < 0.05 对照组 60 1.04±0.08 1.21±0.10 < 0.05 P < 0.05 < 0.05 
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[1] Kurita S. Growth, development and aging of the vocal fold[J]. Japan J Logopedics Phoniatrics, 1988, 29(2): 185-193. doi: 10.5112/jjlp.29.185
[2] Hirano M, Kurita S, Kiyokawa K, et al. Posterior glottis: Morphological study in excised human larynges[J]. Ann Otol Rhinol Laryngol, 1986, 95(6 Pt 1): 576-581.
[3] McFerran DJ, Abdullah V, Gallimore AP, et al. Vocal process granulomata[J]. J Laryngol Otol, 1994, 108(3): 216-220. doi: 10.1017/S0022215100126337
[4] 聂倩, 李进让, 张冉, 等. 咽喉反流与男性特发性喉接触性肉芽肿杓状软骨钙化的关系[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(3): 263-265. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202003020.htm
[5] Pontes P, De Biase N, Kyrillos L, et al. Importance of glottic configuration in the development of posterior laryngeal granuloma[J]. Ann Otol Rhinol Laryngol, 2001, 110(8): 765-769. doi: 10.1177/000348940111000812
[6] 李进让, 陈雪松. 喉接触性肉芽肿[J]. 听力学及言语疾病杂志, 2004, 12(1): 56-58. doi: 10.3969/j.issn.1006-7299.2004.01.027
[7] Lemos EM, Sennes LU, Imamura R, et al. Vocal process granuloma: clinical characterization, treatment and evolution[J]. Braz J Otorhinolaryngol, 2005, 71(4): 494-498. doi: 10.1016/S1808-8694(15)31205-2
[8] 侯丽珍, 徐文, 韩德民. 喉接触性肉芽肿的临床特点[J]. 中国耳鼻咽喉头颈外科, 2009, 16(9): 517-520. https://www.cnki.com.cn/Article/CJFDTOTAL-EBYT200909022.htm
[9] Martins RH, Dias NH, Santos DC, et al. Clinical, histological and electron microscopic aspects of vocal fold granulomas[J]. Braz J Otorhinolaryngol, 2009, 75(1): 116-122. doi: 10.1016/S1808-8694(15)30842-9
[10] Mota LA, de Cavalho GB, Brito VA. Laryngeal complications by orotracheal intubation: Literature review[J]. Int Arch Otorhinolaryngol, 2012, 16(2): 236-245. doi: 10.7162/S1809-97772012000200014
[11] 张冉, 李进让, 聂倩, 等. 女性喉接触性肉芽肿46例临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(4): 360-363. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202004018.htm
[12] Ohman L, Olofsson J, Tibbling L, et al. Esophageal dysfunction in patients with contact ulcer of the larynx[J]. Ann Otol Rhinol Laryngol, 1983, 92(3 Pt 1): 228-230.
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