纤维喉镜150例职业用嗓者声嘶的病因分析

An Analysis of Electronic Laryngoscope Results in 150 Hoarseness Patients Working by Voice

目的探讨150例用声职业声嘶患者的主要病因及临床特点。方法通过对150例用声职业的声嘶患者进行电子喉镜检查,对检查结果进行回顾性分析。结果 150例声嘶患者中,男47例女103例,其中急性声带炎41例(27.3%),声带闭合不良33例(22%),肥厚性声带炎30例(20%),声带小结26例(17.3%),声带息肉14例(9.3%),癔病性声嘶4例(2.7%),喉结核及真菌性声带炎各1例。女性多见,男:女之比为2.19:1。结论在用声职业的声嘶患者中,急性声带炎比例最高,发病中女性明高显于男性;真菌性喉炎、喉结核较少见。

Objective To analyze the common causes and clinical features associated with hoarseness in patients working by voice.Methods The data of 150 patients suffering from hoarseness were retrospectively analyzed with electronic laryngofiberscopy.Results There were 47 males and 103 females.The main causes of hoarseness were acute laryngitis 41 cases（27.3%）,vocal hypertrophy 30 cases（20%）,vocal cord nodules 26 cases（17.3%）,polyp of vocal cord 14 cases（9.3%）,the hysteria hoarseness 4 cases（2.7%）,laryngeal tuberculosis and eumycete chorditis vocalis one case respectively.The ratio of male and female was 4.36：1.Conclusion The incidence for female was higher than that for male and the acute chorditis vocalis was the top disease,the hysteria hoarseness and laryngeal tuberculosis have the low incidence in the groups.