论文部分内容阅读
喉淀粉样变性由上皮下淀粉样物质沉淀而形成。本病颇为少见,确诊主要依据活检。本文报告文献中4例喉淀粉样变的资料以阐明其诊断方面可能存在的问题。本病发病年龄一般在11～80岁,好发年龄为40～50岁;男女性别比例为3∶1。呼吸道淀粉样变发生于喉部者为其他部位的2倍。主要症状为声嘶,也可出现呼吸困难和吞咽困难。病情进展一般十分缓慢。发生部位主要在声门上区,特别是假声带;偶亦有发生于声门下的报道。喉镜检查无特征性表现,一般为一界线清楚、表面光滑的肿块,也可表现如良性声带息肉、假声带潴留性囊肿和喉囊肿。淀粉样物主要
Throat amyloidosis is formed by the precipitation of subepithelial amyloid. The disease is quite rare, confirmed mainly based on biopsy. This article reports four cases of throat amyloidosis in the literature to clarify the possible problems in its diagnosis. The onset of the disease is generally 11 to 80 years old, good hair age of 40 to 50 years; gender ratio of 3: 1. Respiratory amyloidosis occurs in the throat of other parts of the 2 times. The main symptoms are hoarseness, difficulty breathing and difficulty swallowing. The progress of the disease is generally very slow. Occurred mainly in the glottis area, especially the false vocal cord; Occasionally occurred in the subglottic report. Laryngeal examination without characteristic manifestations, usually a clear, smooth surface of the lumps, but also can be expressed as benign vocal cord polyps, fake vocal cord retention cyst and laryngeal cyst. Amyloid mainly