电子喉镜监控下声带黏膜下自体脂肪注射术治疗单侧声带麻痹的嗓音评估

Voice Evaluation of Unilateral Vocal Cord Paralysis After Vocal Cord Submucosal Autologous Fat Injection Under Electronic Laryngoscope

目的:探讨与分析电子喉镜监控下声带黏膜下自体脂肪注射术治疗单侧声带麻痹后嗓音的主客观评估。方法:选取我院自2007年1月-2011年1月收治的30例单侧声带麻痹患者,随机分成A、B两组,A组采用电子喉镜监控下声带黏膜自体胎脂肪注射术,B组采用保守疗法。比较两组治疗结果。结果:A组单侧声带麻痹患者术后嗓音障碍指数正常、声带闭合和GRBAS评估正常的人数及比例比B组高(P<0.05),差异均有统计学意义。结论:电子喉镜监控下声带黏膜下自体脂肪注射术治疗单侧声带麻痹是目前治疗单侧声带麻痹的最佳治疗方法之一,在临床上值得推广应用。

Objective.. To evaluate the application of vocal cord submucosal autologous fat injection tech- nique under electronic laryngoscope in the treatment of unilateral vocal cord paralysis. Methods. Thirty cases of unilateral vocal cord paralysis were involved in this study from January 2007 to January 2011 in our hospital, and were divided into group A and group B randomly with 15 cases in each group. Patients in group A received vocal cord submucosal autologous fat injection, while group B were treated conventionally. Results： After treatment, more cases showed normal voice disorders index, closed vocal cord, and normal GRBAS evaluation in group A versus in group B. Conclusion： It is valuable to apply vocal cord submucosal autologous fat injection under the moni- tor of electronic laryngoscope in the treatment of unilateral vocal cord paralysis.