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目的探讨小儿声嘶病因、临床特点及纤维喉镜在其检查及诊断中的意义。方法对180例小儿声嘶患者纤维喉镜检查结果进行分析。结果声带小结64例(35.56%),慢性喉炎48例(26.67%),声带息肉18例(10.00%),为小儿声嘶常见3种病因,占总人数的71.11%。其余为声带未见明显病变16例(8.89%);喉乳头状瘤10例(5.56%);急性喉炎8例(4.44%);喉外伤8例(4.44%);癔病性声嘶4例(2.22%);声带麻痹2例(1.11%)、声带囊肿2例(1.11%)。结论小儿声嘶主要病因为声带小结、慢性喉炎和声带息肉。纤维喉镜应作为其检查和诊断的首选。
Objective To investigate the cause and clinical features of hysteris in children and the significance of fiberoptic laryngoscopy in its examination and diagnosis. Methods 180 cases of children with hoof fiber laryngoscopy examination results were analyzed. Results Vocal nodules were found in 64 cases (35.56%), chronic laryngitis in 48 cases (26.67%) and vocal cord polyps in 18 cases (10.00%). These were the common causes of hoarseness in children, accounting for 71.11% of the total. The remaining cases were vocal cord with no obvious lesions in 16 cases (8.89%), laryngeal papilloma in 10 cases (5.56%), acute laryngitis in 8 cases (4.44%), laryngeal trauma in 8 cases (4.44%), (2.22%); vocal cord paralysis in 2 cases (1.11%), vocal cord cyst in 2 cases (1.11%). Conclusions The main causes of hoarseness in children are vocal nodules, chronic laryngitis and vocal cord polyp. Fiber laryngoscope should be used as the first choice for examination and diagnosis.