再论声带麻痹诊治关键问题
The key problems of diagnosis and treatment of vocal cord paralysis
郑宏良 1李孟 1陈世彩1
作者信息
- 1. 海军军医大学第一附属医院(长海医院)耳鼻咽喉头颈外科(上海,200433)
- 折叠
摘要
声带麻痹是学科常见病多发病,引起喉功能的严重损害,甚至危及生命,为谋求精确诊断,恢复喉功能,近一个世纪来,学者们进行了大量的动物实验以及临床试验,取得了不少的成果.从机械的角度缩窄声门恢复发音功能,到扩大声门解决呼吸困难,再进展到恢复声带运动功能的手术技术的出现,大大推进了学科的发展.声带麻痹诊治专家共识的发表,规范了该疾病的诊治原则及技术标准,但仍然有大量的相关知识如疾病发病机制,诊断标准,手术原理,手术技术方法等需要更广泛的普及与提高,指导临床实际应用,进一步提高我国对该疾病的诊治水平.
Abstract
Vocal cord paralysis is a common condition that significantly impairs laryngeal function and can e-ven be life-threatening.Over nearly a century,researchers have conducted extensive animal and clinical studies to achieve accurate diagnosis and restore laryngeal function,making significant progress.Approaches have evolved from mechanically narrowing the glottis to restore phonation,to enlarging the glottis to relieve breathing difficul-ties,and ultimately to the development of surgical techniques aimed at restoring vocal cord mobility,significantly advancing the field.The publication of expert consensus guidelines on the diagnosis and treatment of vocal cord paralysis has standardized the principles and technical standards for managing this condition.However,a vast a-mount of related knowledge-including the disease's pathogenesis,diagnostic criteria,surgical principles,and tech-niques-still requires broader dissemination and further refinement.Advancing this knowledge will guide clinical practice and further enhance the diagnosis and treatment of this condition in China.
关键词
声带麻痹/喉返神经/神经再生/喉框架手术/声门扩大术Key words
vocal cord paralysis/reccurent laryngeal nerve/reinnervation/laryngeal frameword operation/glottic enlargement引用本文复制引用
基金项目
国家自然科学基金(81400455)
国家自然科学基金(81970868)
出版年
2024
NETL
NSTL
万方数据