摘要
目的提高临床医生对声带白色炎性渗出的鉴别诊断能力。方法对我院2000年3月—2007年12月收治的28例声带白色炎性渗出误诊患者的临床资料进行回顾性分析。结果28例患者首诊时误诊为声带白斑23例、喉癌4例、喉结核1例,其中11例进行组织病理学检查,经抗感染、抑酸及局部雾化吸入等处理,4~15 d后28例声带表面白色分泌物消失。结论声带白色炎性渗出可能是声带急性炎性渗出及胃酸反流共同作用的结果,容易发生在创面较大的声带术后,局部雾化及抑酸治疗等可有效抑制炎性渗出。
Objective To improve the ability of clinic diagnosis and differential diagnosis of inflammatory exudation of vocal cord.Methods The clinical data were analysed in 28 cases with inflammatory exudation of vocal cord.Results 28 cases were misdiagnosed as 23 vocal cord leukoplakia,one laryngeal tuberculosis and 4l aryngeal carcinoma,histopathology was used in 11 patients,all of the patient′s clinical symptoms diappeared.By inflammation resisting,acid resisting and ultrasonic spray inhalation in four to fifteen days.Conclusion Inflammatory exudation of vocal cord could be the result of acute inflammatory exudation and gastric acid reflux,acid resisting and ultrasonic spray inhalation may inhibit inflammatory exudation.
出处
《中国全科医学》
CAS
CSCD
2008年第20期1865-1866,共2页
Chinese General Practice
关键词
急性炎性渗出
声带
白斑
Acute inflammatory exudation
Vocal cord
Leukoplakia
