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作者们复习了10组声带麻痹的文献,并介绍1组病人,详细分析其病因、病程及结果,以提供声带麻痹选择手术时机的资料。在10组资料中,多数对病因作了分析,但随访的病例少,很少提到结果。自然恢复率自0~83%不等,自发病至恢复的时间通常不到6个月,少数病例在6~12个月恢复。作者们观察的病人共103例,所有病人均作了全面检查。62例随访时间为6个月~22年;41例为死亡和失访。病因中最常见的为手术(42例),其次为特发性(25例),恶性肿瘤23例,外伤8例,其他为气管插管、血管性、代谢性、中枢神经系统疾患等。恢复结果:仅4例在6个月内恢复正常功能,其中2例为插管后,2例为特发性。4例因代偿而获良好声音。手术所致的麻痹
The authors reviewed 10 articles on vocal cord paralysis and introduced a group of patients with a detailed analysis of their etiology, course of disease and outcome to provide information on timing of vocal cord paralysis surgery. Of the 10 groups of data, the majority analyzed the etiology, but fewer were followed up and few were reported. The natural recovery rate from 0 to 83% range, from onset to recovery time is usually less than 6 months, a few cases recovered in 6 to 12 months. The authors observed a total of 103 patients, all patients were fully examined. 62 patients were followed up for 6 months to 22 years; 41 patients died and lost. The most common cause was surgery (n = 42), followed by idiopathic (n = 25), malignant tumors (n = 23) and trauma (n = 8). Other were intubation, vascular, metabolic, and central nervous system disorders. Recovery Results: Only 4 patients returned to normal function within 6 months, 2 of them were intubated and 2 were idiopathic. 4 cases due to compensation and get a good voice. Paralysis caused by surgery