摘要
目的分析儿童声嘶的特点,并对良性增生性声带疾病患儿的嗓音频谱检查及诊治进行分析研究。方法分析152例声嘶患儿(其中良性增生性病变98例,占64.47%)发病特点、嗓音声学特点及治疗转归情况。结果①儿童声嘶疾病中,声带良性增生性疾病较多;其中男性约66.3%;病变多为双侧,以声带息肉为最多,慢性肥厚性喉炎次之;②患儿嗓音分析结果为:变声期前,声带息肉和慢性肥厚性喉炎患儿的基频微扰和振幅微扰、标准化噪声能量、谐噪比均明显异常;③声带小结和声带息肉患者预后较好,慢性肥厚性喉炎预后最差。结论在儿童声嘶疾病中,声带良性增生性疾病所占比例最大,以声带息肉最多,如保守治疗不能恢复,可手术治疗。
OBJECTIVE To classify and summarize the voice diseases of children, and to study the features of voice acoustic assessment,the diagnosis, treatment and prognosis of hyperplasia diseases of vocalfolds in children. METHODS There were 152 hoarse- ness children included in this study（98 of them with hyperplasia of vocal folds,64.47 %）. The characteristics of laryngostroboscopy,acoustic analysis,maximum phonation time （MPT）measurement,illness history,treatment and prognosis of all the cases were analyzed. RESULTS ① Children with hyperplasia diseases of vocal folds are mostly seen at school age,and 66.3 % of them are boys. Bilateral vocal fold polyp is the most common disease in children with vocal cord hyperplasia, the chronic hypertrophic laryngitis is the second one. ②The results of acoustic analysis：there are no significant difference among the voices of vocal fold nodules,hypertrophic laryngitis and normal children before puberty;the jitter,shimmer,normalized noise energy（NNE）, H / N ratio （HNR） of the voices of vocal fold polyps and chronic laryngitis children are significantly higher than that of the normal children. ③ The prognosis of vocal fold nodule and polyp children is better than other children. The children with chronic hypertrophic laryngitis have the worst prognosis. CONCLUSION Hyperplasia disease of vocal folds is the most common disease in children with voice diseases. Vocal fold surgery under general anesthesia should be recommended if the conservative treatment proved to have no effectiveness.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2005年第12期771-774,共4页
Chinese Archives of Otolaryngology-Head and Neck Surgery
基金
国家科技攻关计划"上呼吸道炎性疾病诊治研究"(2003BA712A11-17)
北京市科技新星基金资助项目(H020821190190)
关键词
儿童
声嘶
增生
Child
Hoarseness
Hyperplasia
