声带任克水肿的临床特点及治疗转归  

Patterns of Reinke's Edema of Vocal Fold and Outcomes Following Phonomicrosurgery

作　　者：徐文[1] 韩德民[1] 侯丽珍[1] 张丽[1] 叶京英[1] 王军[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉-头颈外科

出　　处：《首都医科大学学报》2005年第3期255-257,共3页Journal of Capital Medical University

基　　金：北京市科技新星项目(H020821190190)资助项目

摘　　要：目的探讨声带任克水肿对发音功能的影响及治疗转归。方法对65例声带任克水肿患者的发病过程、嗓音声学特点、声带运动形态、手术方式及术后转归进行分析。结果任克水肿病程较长,均为中老年患者。病变累及声带任克层全长,声带振动黏膜波活跃,声门上功能亢进。术前嗓音声学参数与正常值比较差异有统计学意义(P<0.01),发音音调较低(P<0.05)。任克水肿激光显微外科手术术后1个月发音改善明显,术后3个月恢复稳定。结论声带任克水肿累及声带被覆层全长,病程较长,明显影响发音功能,激光显微外科手术效果良好,可以保留结构及功能。Objective To investigate the patterns of Reinke's edema of vocal fold and its outcomes following CO_2 laser Phonomicrosurgery. Methods 65 patients with Reinke's edema were evaluated by clinical manifestation, acoustic analysis, aerodynamic analysis and videostroboscopic examination for preoperation and post operation. Results The Reinke's edema were mainly senior patients. The vocal fold vibrate with increased mucosal wave and hypertrophy of false fold presented to compensate incomplete glottal closure more frequently in Reinke's edema. There was significantly difference in acoustic analysis between normal and lesions(P<0.01). F_0 of Reinke's edema was lower than that of control group(P<0.05). Vocal function recovered three months after operation steadily. Conclusion Reinke's edema is located within the whole cover layer of the vocal fold. CO_2 laser phonomicrosurgery can control the range of the operation delicately. Vocal function can recover steadily three months after operation.

关 键 词：任克水肿 治疗转归 临床特点 嗓音声学参数 显微外科手术 激光显微外科 发音功能 中老年患者 发病过程 水肿患者 声学特点 运动形态 术后转归 手术方式 声带振动 功能亢进 手术效果 统计学 正常值 病程 全长 

分 类 号：R767.4[医药卫生—耳鼻咽喉科] R714.46[医药卫生—临床医学]