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目的 探讨单侧声带麻痹的病因与治疗及预后关系。方法 对 2 47例单侧声带麻痹患者的病因进行了分析 ,除治疗原发病外 ,10 2例还进行了声嘶治疗 (包括药物治疗、声带内注射治疗、喉支架术及喉神经再支配术治疗 ) ,观察其预后。结果 单侧声带麻痹的病因中 ,肿瘤占首位 ,为 43.7% ,其余依次为手术、特发性、外伤等 ;从病因看 ,肿瘤患者声嘶预后最差 ,特发性患者声嘶预后最好 ,从治疗结果看治疗有利于声嘶的恢复。结论 单侧声带麻痹除病因治疗外 ,应针对不同病因积极采用不同治疗声嘶的办法 ,促进喉功能恢复
Objective To investigate the etiology, treatment and prognosis of unilateral vocal cord paralysis. Methods The etiology of 477 patients with unilateral vocal cord paralysis was analyzed. In addition to the primary disease, 102 patients were also treated for sizzling (including medical treatment, intracoronary injection therapy, laryngeal stenting and laryngeal nerve reassignment Surgery), observe the prognosis. Results The causes of unilateral vocal cord paralysis, the tumor accounted for the first place, was 43.7%, followed by surgery, idiopathic trauma, etc .; from the etiology, the worst prognosis of patients with sonic neoplasm, idiopathic patients with the best hoarseness prognosis From the treatment results, treatment is conducive to hoarseness recovery. Conclusion In addition to unilateral vocal cord paralysis in addition to the cause of treatment, should be based on different causes of active treatment of different hoarseness approach to promote the recovery of laryngeal function