环杓关节炎症55例临床分析  

Clinical analysis on 55 cases of cricoarytenoid arthritis

作　　者：谢福权[1] 傅明[1] 

机构地区：[1]广东省东莞市人民医院,523059

出　　处：《齐齐哈尔医学院学报》2015年第19期2892-2893,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨环杓关节炎的诊断与治疗经验。方法回顾性分析55例环杓关节炎的临床资料,总结诊断要点,探讨治疗方案。患者分为两组,A组予口服地塞米松片和二氟尼柳片治疗,B组予口服头孢呋辛酯片治疗。结果 A组的治愈率为80%,B组的治愈率为20%,经过统计学分析P<0.05,具有统计学意义。随访时间为2个月至1年,治愈病例均未见复发。结论环杓关节炎临床症状以喉痛、声音嘶哑、吞咽困难为主,喉镜下见杓区黏膜红肿,声带可呈弓形隆起。口服地塞米松片和二氟尼柳片可能是治疗环杓关节炎的最佳治疗方法。Objective To investigate the experiences of diagnosis and treatment for cricoarytenoid arthritis. Methods Clinical datas of 55 patients with cricoarytenoid arthritis were retrospectively studied,summarized the main points of diagnosis and treatment. The patients were randomly divided into two groups：patients in group A（ n = 30） were given oral medicine of dexamethasone and diflunisal,patients in group B（ n =25） were given oral medicine of cefuroxime axetil. Results 24 cases were cured in group A,the cure rate was80%. 5 cases were cured in group B,the cure rate was only 20%. The difference between the two groups was statistically significant（ P〈0. 05）. The patients were followed up for two months to one year,and none recrudesce occurred in the cured cases. Conclusions Clinical symptoms of cricoarytenoid arthritis are sore throat,hoarseness and difficulty swallowing. The mucosa of interarytenoidea is swollen and the vocal cords are bow- shaped under laryngoscope. The best treatment of cricoarytenoid arthritis may be to give oral medicine of dexamethasone and diflunisal.

关 键 词：环杓关节炎 诊断 治疗 地塞米松 二氟尼柳 

分 类 号：R274.943[医药卫生—中西医结合]