老年声带麻痹病因分析(附92例报告)

Pathogenesis exploration of vocal cord paralysis in the elder: a report of 92 cases

目的:分析老年人声带麻痹的常见病因。方法:回顾分析92例声带麻痹患者的临床资料,均经间接喉镜或电子喉镜检查。结果:由颈、胸部肿瘤引起声带麻痹52例;颈、胸手术15例;脑血管意外7例;颅脑外伤3例;气管插管2例;高血压心脏病及左心室肥大3例;肺结核4例;癔病性1例;不明原因5例。结论:临床上对声带麻痹的老年患者,应进行系统的病因分析,并排除或早期发现恶性肿瘤,以免延误诊治。

Objective： To investigate the common causes of vocal cord paralysis（VCP） in the elder. Methods： Ninety-two patients with VCP were analyzed. All the patients underwent examination by indirect laryngoscope or electrolaryngostroboscopy. Results： Fifty-two cases with VCP were caused by neck and thoracic tumor, 15 by neck and thoracic openations, 7 by accidence of brain blood vessel, 3 by skull trauma wound, 2 by trachea intubation, 3 by heart disease of hypertension and hypertrophy of left ventricle, 4 by tuberculosis, and 1 by hysteria. No obvious reason was found in 5 cases. Conclusion： Patients with VCP should be systemly examined to find the reasons of disease. Malignant tumors should be excluded or diagnosed early, and we should consider their possibility to elders with vocal cord paralysis.