单侧声带麻痹的临床疗效评估及研究进展

朱新蓓; 范蒙; 徐诗霞; 周汝环

doi:10.3969/j.issn.1672-4933.2023.05.018

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单侧声带麻痹的临床疗效评估及研究进展

综述 | 更新时间：2023-11-03

- 单侧声带麻痹的临床疗效评估及研究进展
- Clinical Efficacy Evaluation and Research Progress of Unilateral Vocal Cord Paralysis
- 中国听力语言康复科学杂志 2023年21卷第5期页码：520-524
- 作者机构：
  
  1.合肥市第二人民医院耳鼻喉科合肥 232200
  2.皖南医学院芜湖 241002
- 作者简介：
  
  朱新蓓硕士住院医师；研究方向：耳鼻咽喉科
  周汝环，E-mail：wxq671031@163.com
- 基金信息：
  
  合肥市医疗卫生“借转补”研发项目(J2020Y05)
- DOI：10.3969/j.issn.1672-4933.2023.05.018
  中图分类号：
- 纸质出版日期：2023-09-15，
  
  收稿日期：2022-10-20，
- 稿件说明：
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朱新蓓,范蒙,徐诗霞等.单侧声带麻痹的临床疗效评估及研究进展[J].中国听力语言康复科学杂志,2023,21(05):520-524.

ZHU Xin-bei,FAN Meng,XU Shi-xia,et al.Clinical Efficacy Evaluation and Research Progress of Unilateral Vocal Cord Paralysis[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):520-524.
朱新蓓,范蒙,徐诗霞等.单侧声带麻痹的临床疗效评估及研究进展[J].中国听力语言康复科学杂志,2023,21(05):520-524. DOI： 10.3969/j.issn.1672-4933.2023.05.018.

ZHU Xin-bei,FAN Meng,XU Shi-xia,et al.Clinical Efficacy Evaluation and Research Progress of Unilateral Vocal Cord Paralysis[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):520-524. DOI： 10.3969/j.issn.1672-4933.2023.05.018.

摘要

单侧声带麻痹（unilateral vocal cord paralysis，UVFP）是由多种原因引起单侧支配喉内肌的运动神经传导通路受损，引起单侧声带运动障碍、声门闭合不全的疾病，主要症状包括发音困难和吞咽困难，影响患者的生活质量。临床评估方法包括语音评估、吞咽功能评估、声带振动评估、影像学检测、实验室检查以及喉神经电生理检查等。UVFP的治疗方法包括保守治疗，如病因治疗、药物治疗、声音疗法，目前保守治疗尚未确立为标准治疗方法。手术治疗有注射喉成形术、喉返神经修复术，包括喉返神经减压术、喉返神经端端吻合术、替代神经转位喉返神经吻合术，其中颈襻－喉返神经吻合术效果最佳，以及喉成形声带接近术以及联合手术等。

Abstract

Unilateral vocal cord paralysis (UVFP) is a disease caused by a variety of causes of unilateral motor nerve conduction pathway damage innervating the laryngeal muscles causing unilateral vocal cord dyskinesia and glottic insufficiency. The main symptoms include dysphonia and dysphagia

which greatly affect the quality of life of patients and require effective treatment to recover. The methods of clinical evaluation include speech assessment

swallowing function assessment

vocal cord vibration assessment

imaging examination

laboratory examination and laryngeal nerve electrophysiological examination for evaluation. Various treatments have been proposed for UVFP

including conservative treatments (e.g.

etiological treatment

medical treatment

sound therapy)

which are not currently established as standard treatments.In severe cases

surgical treatment includes injection laryngoplasty

recurrent laryngeal nerve repair (including recurrent laryngeal nerve decompression

recurrent laryngeal nerve end-to-end anastomosis

alternative nerve transposition recurrent laryngeal nerve anastomosis

of which cervical loop-recurrent laryngeal nerve anastomosis is the best)

laryngoplasty vocal cord proximity

and combined surgery.

关键词

单侧声带麻痹评估治疗

Keywords

Unilateral vocal cord paralysisEvaluationTreatment

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