914例喉病分析

Analysis of 914 cases of laryngeal diseases

目的探讨近年来喉病的病种及其年龄分布特点。方法对914例经纤维喉镜或动态喉镜检查、诊断(其中709例经病理诊断)的喉病病例进行分析。结果各种喉病按所占比例依次为声带息肉264例(28.9%)、慢性喉炎202例(22.1%)、喉癌139例(15.2%)、声带小结115例(12.6%)、急性喉炎63例(6.9%)、声带麻痹43例(4.7%)、喉乳头状瘤35例(3.8%)和其他喉病53例(5.8%)。其中少年儿童以声带小结、慢性喉炎及喉乳头状瘤为主;青年人以声带息肉、声带小结、慢性喉炎为主;中年人以急性喉炎、声带息肉及喉癌为主;老年人则以喉癌、声带麻痹为主。结论声带息肉、慢性喉炎、喉癌、声带小结、急性喉炎为5种最常见的喉病,占总病例数的85.7%,不同喉病其年龄分布有所不同。

Objective To study clinical features of laryngeal diseases. Method Total 914 cases of laryngeal diseases diagnosed with histopathology and/or laryngendoscopy were included in the study. Result Vocal cord polyp （264 cases, 28.9%） was the commonest laryngeal disease, followed by chronic laryngitis （202 cases, 22. 1%）, laryngeal carcinoma （139 cases, 15. 2%）, vocal nodule （115 cases, 12.6%）, acute laryngitis （63 cases, 6.9%）, vocal cord palsy （43 cases, 4.7%）, papilloma （35 cases, 3. 8%）and others （53 cases, 5.8%）. Vocal nodule, chronic laryngitis and papilloma occurred commonly in children; vocal cord polyp, vocal nodule and chronic laryngitis in young people; acute laryngitis, vocal cord polyp and laryngeal carcinoma in middle-aged people; laryngeal carcinoma and vocal cord palsy in aged. Conclusion Vocal cord polyp, chronic laryngitis, laryngeal carcinoma, vocal nodule and acute laryngitis were five common laryngeal diseases, accounting for 85. 7% of total cases, and showed their characteristic in age distribution.