Bruggink T P, van der Rijt A J, van den Broek P
Academisch Ziekenhuis, afd. Keel-, Neus- en Oorheelkunde, Nijmegen.
Ned Tijdschr Geneeskd. 1995 Mar 18;139(11):570-4.
To assess the different causes, the diagnostic process and natural course of vocal cord paralysis.
A retrospective study.
Department of ENT, University Hospital Nijmegen, the Netherlands.
Between 1982 and 1990, 215 patients with the symptoms of vocal cord paralysis were routinely examined. In 40 patients additional examination was needed to determine the diagnosis.
A substantial part of all cases (43%) were caused by previous medical intervention, for instance thyroid or thoracic surgery. Neoplasms of the head and neck region or thoracic cavity were a cause in 25%. In spite of extensive examination the cause of a vocal cord paralysis remained unclear in 18%. Physical examination combined with chest X-ray were the main diagnostic methods. Spontaneous recovery of a vocal cord paralysis was seen in 18% of all patients, but in the subgroup with paralysis after prolonged intubation or a viral infection it occurred in 46% and 62%, respectively.
A vocal cord paralysis can have many causes. Physical examination and chest X-ray are important tools for diagnosis.
评估声带麻痹的不同病因、诊断过程及自然病程。
一项回顾性研究。
荷兰奈梅亨大学医学中心耳鼻喉科。
1982年至1990年间，对215例有声带麻痹症状的患者进行了常规检查。其中40例患者需要进一步检查以明确诊断。
所有病例中相当一部分（43%）是由先前的医疗干预引起的，例如甲状腺或胸外科手术。头颈部或胸腔肿瘤导致的病例占25%。尽管进行了广泛检查，仍有18%的声带麻痹病因不明。体格检查结合胸部X线检查是主要诊断方法。所有患者中18%的声带麻痹可自发恢复，但在长时间插管或病毒感染后发生麻痹的亚组中，自发恢复率分别为46%和62%。
声带麻痹可能有多种病因。体格检查和胸部X线检查是重要的诊断手段。
