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本文分析220例声带麻痹的肌电检查结果:220例中,30例为联合性麻痹,占13.6％;187例为喉返神经麻痹,占85.0％;2例一侧喉返神经麻痹,另一侧联合性麻痹:剩下1例为喉上神经麻痹。14例双侧麻痹中(28侧中)有3侧属于完全麻痹(ⅡA型),占10.70％;205例单侧麻痹中,完全麻痹者22例,占10.70％。联合性或喉返神经完全麻痹,声带可分别居中间位,旁正中位或正中位;联合性部分麻痹声带可居正中位或旁正中位。提示:肌电检查对确定麻痹的程度,鉴别联合性与喉返神经麻痹和喉上神经麻痹是不可缺少的手段。特发性麻痹可能与病毒感染有关。
220 cases of vocal cord paralysis EMG examination results: 220 cases, 30 cases were associated paralysis, accounting for 13.6%; 187 cases of recurrent laryngeal nerve paralysis, accounting for 85.0%; 2 cases of recurrent laryngeal nerve paralysis, the other Lateral paralysis: the remaining one is laryngeal nerve paralysis. Of the 14 patients with bilateral paralysis (3 of the 28 sides), they were completely paralyzed (type IIA), accounting for 10.70%. Of the 205 patients with unilateral paralysis, 22 were completely paralyzed (10.70%). Combined or recurrent laryngeal nerve paralysis, vocal cords were medial median, next to the median or median; combined part of the paralytic vocal cord may be median or next to the median. Tip: EMG to determine the extent of paralysis, to identify joint and recurrent laryngeal nerve paralysis and laryngeal nerve paralysis is an indispensable means. Idiopathic paralysis may be related to viral infection.