目的探讨儿童声嘶患者的病因及临床特点。方法对512例声嘶患儿纤维喉镜检查结果进行分析。结果声带小结246例(48.05%)、声带肥厚196例(38.28%)、急性喉炎33例(6.45%)、声带麻痹28例(5.47%)、喉乳头状瘤9例(1.76%)为声嘶常见的5种病因。其在4个年龄组的分布不尽相同(P<0.01)。结论引起儿童声嘶的疾病在不同年龄组分布不同,儿童声嘶的主要病因为声带小结与声带肥厚。 Objective To investigate the etiology and clinical features of children with hoarseness. Methods 512 cases of hoarseness in children with laryngoscopy examination results were analyzed. Results Vocal cord nodules were found in 246 cases (48.05%), vocal cord hypertrophy in 196 cases (38.28%), acute laryngitis in 33 cases (6.45%), vocal cord paralysis in 28 cases (5.47%) and laryngeal papilloma in 9 cases (1.76% Hiss common five causes. Its distribution in 4 age groups is not the same (P <0.01). Conclusions The diseases causing hoarseness in children are different in different age groups. The main causes of children hoarseness are vocal nodules and vocal cord hypertrophy.