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分析42例声带麻痹病例,特发性麻痹最多,甲状腺切除和外伤是重要的致病因素。大部分单侧声带麻痹者在6个月后出现发声代偿,未有代偿者以声带内注射术、声带内移术治疗可改善发音质量,电起搏动态治疗单侧声带麻痹有待进一步研究。双侧声带麻痹采用声带外移术治疗,Woodman术发音、呼吸效果较好,一侧声带切除和T型管扩张可获得安全的气道,神经肌蒂移植术目前尚无肯定的效果。
Analysis of 42 cases of vocal cord paralysis, the largest number of idiopathic paralysis, thyroidectomy and trauma is an important risk factor. Most unilateral vocal cord paralysis in 6 months after the onset of sound compensation, no compensatory who by vocal cord injection, vocal cord movement therapy can improve the quality of pronunciation, dynamic pacemaker treatment of unilateral vocal cord paralysis needs further study . Bilateral vocal cord paralysis with the treatment of vocal cord, Woodman surgery pronunciation, breathing better, one side of the vocal cord resection and T-tube dilatation to obtain a safe airway, neuromuscular grafting has no positive effect.