室性发音障碍的误诊分析

Misdiagnosis of dysphonia plicae ventricularis

目的总结室性发音障碍的临床特征及误诊原因。方法回顾性分析10例被误诊的室性发音障碍病例的性别、年龄、职业、临床嗓音表现、检查结果及治疗方法。结果 10例被误诊的病例中,代偿型8例,被误诊为声带炎、慢性喉炎及声带闭合不全等;肥厚型2例被误诊为慢性喉炎和声带息肉。通过发音治疗、手术治疗及药物治疗后室性发音障碍均消失。结论室性发音障碍在临床上不多见,临床症状也不典型,容易被误诊为其他嗓音疾病,需要做详细的喉镜检查和嗓音分析。

Objective To study the clinical characteristics of ventrieular bands dysphonia and the reasons for misdiagnosis. Methods The clinical data of 10 patients suffering from ventrieular bands dysphonia which was misdiagnosed as other diseases was analyzed retrospectively. Results Eight cases of compensatory type were misdiagnosed as chorditis, chronic laryngitis and two of hypertrophic type were misdiagnosed as chronic laryngitis and vocal polyp. Ventrieular bands dysphonia in all cases disappeared after various therapeutic measures including voice therapy, surgical and drug treatment. Conclusion The clinical manifestations of ventricular bands dysphonia are untypical. It can easily be misdiagnosed as other voice diseases. Meticulous voice assessment, and laryngeal videostroboseopy should be considered.