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首页> 外文期刊>日本耳鼻咽喉科学会会報 >Clinical evaluation of patients with vocal cord palsy--rate and timing of phonation recovery by disease differences
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Clinical evaluation of patients with vocal cord palsy--rate and timing of phonation recovery by disease differences

机译：声带麻痹患者的临床评估-疾病差异导致发声恢复的速度和时机

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摘要

Vocal cord palsy (VCP) is common in otolaryngological clinics, as are postoperative patients with VCP at general and university hospitals. Although VCP treatment strategies have been discussed, decisions on treatment methods and timing are complicated by the spontaneous recovery exhibited by some patients. We studied clinical features of VCP patients and their histories. Subjects were 171 VCP patients seen at our phonation clinic during a 15-year period-18% of all phonation clinic cases. By gender, 69% were male and 31% were female, ranging in age from 4 to 89 (mean, 58) years. Some 18% were bilateral and 82% unilateral, with 71% of unilateral cases on the left. Postoperative VCP occurred in 59% of patients in common surgical procedures for esophageal and thyroid tumors. During follow-up, 58% spontaneously recovered phonation. Postintubation VCP had the best recovery at 82%. Half with phonation recovery had spontaneous recovery from VCP and the other half had compensation. Most VCP resolved within 1 year, but compensation occurred after 1 year, meaning that in treatment planning and explanation, to VCP should be considered curable within 1 year and compensation attained 1 year after VCP.
机译：在耳鼻喉科诊所，通常存在声带麻痹（VCP），在普通医院和大学医院中，术后VCP患者也很常见。尽管已经讨论了VCP的治疗策略，但某些患者表现出的自发性康复使治疗方法和时机的决定变得复杂。我们研究了VCP患者的临床特征及其病史。在15年的时间里，有171名VCP患者在我们的电话诊所就诊，占所有电话诊所病例的18％。按性别划分，年龄在4至89岁（平均58岁）的男性为69％，女性为31％。大约18％是双侧的，82％是单侧的，其中71％的单侧病例在左侧。食管和甲状腺肿瘤的常规手术中，有59％的患者发生了术后VCP。在随访期间，58％的患者自发恢复了发声。插管后VCP的恢复最好，为82％。发声恢复的一半从VCP自发恢复，另一半恢复。大多数VCP在1年内就解决了，但是补偿是在1年后发生的，这意味着在治疗计划和解释中，应认为VCP可以在1年内治愈，而在VCP之后的1年内可以获得补偿。

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