神经源性声带运动障碍与喉神经电生理  

Neurogenic vocal fold movement disorders and laryngeal nerve electrophysiology

作　　者：马艳利[1] 庄佩耘[1] MA Yanli;ZHUANG Peiyun(Department of Voice-Otolaryngology,Section Two,Zhongshan Hospital,Xiamen University,Xiamen 361004,China)

机构地区：[1]厦门大学附属中山医院耳鼻咽喉科二嗓音科,福建厦门361004

出　　处：《中国耳鼻咽喉颅底外科杂志》2020年第4期360-364,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家自然科学基金项目面上项目(81970871)。

摘　　要：声带运动障碍的病因和临床表现复杂多变,涉及多学科,从病因上分为神经源性和非神经源性。对于神经源性声带运动障碍的诊治,首先通过喉镜等检查明确有无声带运动障碍及严重程度,值得注意的是声带纵向张力变化障碍也属于运动障碍的范畴;然后采用喉肌电图(LEMG)检查进行定性分析,在确诊神经源性损伤后,进一步对神经损伤部位进行定位诊断并查找导致神经损伤的病因;同时根据喉部神经电生理评估结果,判断预后。最后综合上述的评估结果制定相应的治疗策略。The etiologies and clinical manifestations of vocal fold movement disorders are complex and varied,involving multiple disciplines.The etiologies are mainly divided into neurogenic and nonneurogenic.Firstly,laryngoscope and other examinations are used to determine the existence of vocal fold dyskinesia and its severity.It should be noted that the disorder of vocal fold longitudinal tension also belongs to the category of dyskinesia.Then the laryngeal electromyography is used for qualitative analysis.After the diagnosis of neurogenic injury is confirmed,the location of the nerve injury is further diagnosed,and the cause of the nerve injury could be found.Simultaneously,the prognosis could be determined according to the result of laryngeal nerve electrophysiological assessment.Finally,the above evaluation results are synthesized to formulate corresponding treatment strategies.

关 键 词：声带运动障碍 声带麻痹 神经电生理 预后判断 嗓音功能评估 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]