672例儿童声嘶的病因分析及对策  

Clinical analysis and stratege of 672 cases of hoarsness in children

作　　者：赵斯君[1] 李贇[1] 彭湘粤[1] 黄敏[1] 

机构地区：[1]湖南省儿童医院耳鼻咽喉科,长沙市410007

出　　处：《临床小儿外科杂志》2008年第4期18-20,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨儿童声嘶的常见病因及预防措施。方法回顾性分析672例声嘶患儿临床资料,对声嘶原因及诊治结果进行分析。结果本组672例中,慢性喉炎303例,占45.08%;声带小结188例,占27.97%;喉软骨软化症89例,占13.24%;声带瘫痪11例,占1.63%;喉乳头状瘤38例,占5.6%;喉异物12例,占1.78%,先天性喉室带发音困难6例,占0.89%;先天性喉蹼8例,占1.19%;会厌囊肿4例,占0.59%;声带肿块3例,占0.44%;声带息肉6例,占0.89%;喉真菌感染1例,占0.14%;喉结核3例,占0.45%。全组依据不同病因采取相应治疗,疗效满意,好转及治愈率为92.26%。结论儿童声嘶病因复杂,应采取针对性治疗措施,慢性喉炎、声带小结与喉软骨软化症是引起儿童声嘶的主要病因。Objective To the study common causes and preventive measures of hoarsness in children.Methods The dates of 672 children of hoarseness in different ages were analyzed with fiber and direct laryngoscope.Results The main causes of hoarseness were chronic laryngitis （303 cases, 45.08% ）, nodule of vocal （ 188 cases, 27.97%）,laryngeal cartilage dysplasia（89 cases, 27.97% ）, vocal cord paralysis （11 cases,1.63%）,laryngeal papilloma （38 cases,5,60%）,laryngeal foreign body （12 cases, 1.78%）,congenital pronunciation difficulties of laryngeal room （6 cases,0.89%）,congenital laryngeal （8 cases,1.19%）,epiglottic cyst （4 cases,0.59%）,vocal cord mass （3 cases, 0.44%）,vocal cord polyp（6 cases,0.89% ）,laryngeal fungal infection （ 1 cases,0.14% ）and laryngeal tuberculosis （3cases,0.45%）.All cases were treated with different treatment according to the varying etioloyy,and the cure rate was 92.26% .Conclusions Chronic laryngitis,vocal nodules and laryngeal chondromalacia of children is a major cause of hoarseness.

关 键 词：声嘶 病因学 临床分析 预防措施 

分 类 号：R767[医药卫生—耳鼻咽喉科]