经环甲膜穿刺声带注射类固醇激素治疗任克水肿短期疗效观察

马进;刘毅;

1:云南省昆明市第一人民医院耳鼻喉科

摘要
目的探讨纤维电子喉镜辅助下经环甲膜声带注射类固醇激素治疗声带任克水肿的可行性及疗效。方法以55例声带任克水肿患者为研究对象,年龄37~69岁,平均48.7±8.6岁,均在局部麻醉纤维电子喉镜辅助下经环甲膜穿刺声带注射曲安奈德注射液,40毫克/次,每周1次,共注射3次,随访3个月,观察疗效。结果治疗后3个月,55例患者中治愈48例(87.27%,48/55),好转7例(12.73%,7/55),总有效率100.0%,无一例出现并发症及全身不良反应,治疗后1月复查纤维电子喉镜,全部患者声带水肿消失或减轻,多在治疗后1~2个月内发声恢复正常。结论纤维喉镜辅助下经环甲膜穿刺声带注射类固醇激素能有效治疗声带任克水肿,创伤小,简便宜行。
关键词
环甲膜穿刺;声带注射;任克水肿;曲安奈德注射液
基金项目(Foundation):
作者
马进;刘毅;
参考文献

1 Hantzakos A,Remacle M,Dikkers FG,et al.Exudative lesions of Reinke’s space:a terminology proposal[J].Eur Arch Otorhinolaryngol,2009,266:869.

2 Branski RC,Saltman B,Sulica L,et al.Cigarette smoke and reactive oxygen species metabolism;implications for the pathophysiology of Reink’s edema[J].Laryngoscope,2009,119:2014.

3 Cohen E,Kolbus A,Van TM,et al.Immunohistochemical examinations of sex hormone receptors in benign vocal fold lesions[J].Folia Phoniatr Logop,2009,61:259.

4 Chung JH,Tae K,Lee YS,et al.The significance of laryngopharyngeal reflux in benign vocal mucosal lesions[J].Otolaryngol Head Neck Surg,2009,141:369.

5 黄冬雁,杨伟炎,于萍,等.声带息肉发病危险因素的病例对照调查[J].听力学及言语疾病杂志,2008,16:42.

6 于萍,王刚,张贵娟,等.声带任克水肿的临床特点及治疗原则[J].听力学及言语疾病杂志,2010,18:571.

7 Jae YL,Jae NC,Kwang MK,et al.Voice analysis of patients with diverse types of Reinke’s edema and clinical use of electroglottographic measurements[J].Acta Otolaryngol (Stockh),2006,126:62.

8 Duesun G,Ozgursoy OB,Kemal O,et al.One-year follow-up results of combined use of CO2 laser and cold instrumentation for Reinke’s edema surgery in professional voice users[J].Eur Arch Otorhinolaryngol,2007,264:1027.

9 张弢,张治军,蒋梦穗,等.声带黏膜上皮缝合法在任克水肿手术中的应用[J].听力学及言语疾病杂志,2011,19:173.

10 张雷,汤建国.声带疤痕的概念与对策[J].中华耳鼻咽喉头颈外科杂志,2005,40:314.

11 Seung WL,Ki NP.Long-term efficacy of percutaneous steroid injection for treating benign vocal fold lesions:a prospective study[J].Laryngoscope,2016,126:2315.

12 Ichiro T,Koichi O,Hisayoshi K,et al.Steroid Injection for Reinke's edema using fiberoptic laryngeal surgery[J],Acta Otolaryngol (Stockh),2003,123:427.

13 王涛,王志远,叶进,等.不同方法治疗声带息肉伴慢性肥厚性喉炎[J].临床医学,2012,32:94.

本文信息

PDF(290K)

本文作者相关文章

马进刘毅