Bader C-A, Schick B
Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum des Saarlandes, Kirrberger Str. 1/Gebäude 6, 66421, Homburg/Saar, Deutschland.
HNO. 2013 Aug;61(8):678-82. doi: 10.1007/s00106-013-2726-z.
Based on clinical experience in the treatment of psychogenic aphonic patients, the study aimed to analyse the time interval between symptom onset and diagnosis using concrete data and to identify the cause of delayed diagnosis.
The medical records of 14 patients (all female) with psychogenic aphonia first diagnosed at the ENT department of the Saarland University Clinic were evaluated in a retrospective study.
The time interval between symptom onset and the diagnosis of psychogenic aphonia ranged from 1 to 32 weeks, with a mean time interval of 9 weeks. In addition to all patients consulting an ENT specialist, additional diagnostic procedures (primarily imaging) were performed in 6 of 14 patients before the correct diagnosis was made. In all, 13 patients had previously undergone some form of therapy, 11 of these receiving antibiotic treatment.
The study confirms that unnecessary instrument-based"over-diagnosis", as well as ineffective treatment attempts lead to significant delays in the diagnosis of psychogenic aphonia and hence delays in the initiation of causal treatment.
基于治疗心因性失声患者的临床经验，本研究旨在用具体数据分析症状出现与诊断之间的时间间隔，并找出诊断延迟的原因。
在一项回顾性研究中，对萨尔兰大学诊所耳鼻喉科首次诊断为心因性失声的14例患者（均为女性）的病历进行了评估。
症状出现与心因性失声诊断之间的时间间隔为1至32周，平均时间间隔为9周。除了所有患者都咨询过耳鼻喉科专家外，14例患者中有6例在做出正确诊断之前还进行了额外的诊断程序（主要是影像学检查）。总共有13例患者之前接受过某种形式的治疗，其中11例接受了抗生素治疗。
该研究证实，不必要的基于仪器的“过度诊断”以及无效的治疗尝试会导致心因性失声的诊断出现显著延迟，从而导致病因治疗的启动延迟。
