声带矛盾运动障碍诊疗进展

Advances in Diagnosis and Treatment of Paradoxical Vocal Fold Motion

周静;周立

1:成都中医药大学附属医院耳鼻喉科

摘要
声带矛盾运动障碍(paradoxical vocal fold motion, PVFM)是一种以吸气时声带内收为特征的呼吸系统疾病,也被称为发作性喉部运动障碍、刺激性声带功能障碍、精神性声带功能障碍。其典型表现是突然出现的吸气性喘息,并伴有呼吸困难,无异物吸入、过敏反应或感染的病史。患者常出现喉部紧张感或窒息感,呼吸困难症状常见于吸气过程中,可伴有吸气性喉喘鸣。此外,患者还可出现咳嗽、声音改变等症状。PVFM病因尚不明确,可能与心理疾病、反流性疾病或神经系统疾病有关,目前本病缺乏规范的诊疗流程及共识,本文对PVFM的流行病学、诊断及治疗情况进行综述。
关键词
声带矛盾运动障碍;病因;诊断;治疗
基金项目(Foundation):
作者
周静;周立
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周静周立