评估声带麻痹检查的前瞻性研究。
Prospective study to assess vocal cord palsy investigations.
作者信息
El Badawey Mohamed Reda, Punekar Samad, Zammit-Maempel Ivan
机构信息
Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK.
出版信息
Otolaryngol Head Neck Surg. 2008 Jun;138(6):788-90. doi: 10.1016/j.otohns.2008.03.004.
OBJECTIVES
To assess the investigation and clinical outcome of patients presenting with unexplained vocal cord palsy (VCP).
STUDY DESIGN AND METHODS
A prospective cohort study designed to evaluate 86 patients with unexplained VCP presenting to our tertiary referral center.
RESULTS
Twenty-four (36%) patients had positive findings on CT scanning. Twenty-one (24%) cases showed mediastinal adenopathy +/- pulmonary mass. The other three cases were a thoracic aneurysm, prostatic metastasis below the skull base, and a postcricoid tumor. Follow-up period was 18 to 66 months. Fifteen (24%) of the 62 patients with negative radiology recovered full vocal cord movement.
CONCLUSION
CT neck +/- chest plays an important role in the evaluation of VCP patients. The majority of pertinent radiologic findings involve malignant neoplasm.
目的
评估表现为不明原因声带麻痹（VCP）患者的检查情况及临床结局。
研究设计与方法
一项前瞻性队列研究，旨在评估86例前来我们三级转诊中心就诊的不明原因VCP患者。
结果
24例（36%）患者CT扫描有阳性发现。21例（24%）病例显示纵隔淋巴结肿大伴/不伴肺部肿块。另外3例分别为胸主动脉瘤、颅底以下前列腺转移瘤和环状软骨后肿瘤。随访期为18至66个月。62例放射学检查阴性的患者中有15例（24%）恢复了声带的完全活动。
结论
颈部CT±胸部CT在VCP患者的评估中起重要作用。大多数相关的放射学发现涉及恶性肿瘤。
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