影响声带任克水肿程度的常见因素分析
发布时间:2019-04-19 07:39
【摘要】:目的探讨影响声带任克水肿(Reinke’s edema)严重程度的常见因素。方法对85例声带任克水肿患者按病变程度分为I度19例,II度49例,III度17例,分别对不同程度组患者的吸烟、嗓音滥用、喉咽反流的关系进行分析。结果 85例中,喉咽反流阴性67例,阳性18例;43例有嗓音滥用,42例无嗓音滥用;66例有吸烟史,19例无吸烟史,烟龄≤25年25人,25年41人。单项有序分类变量秩和检验及有序多分类logistic回归模型分析显示,烟龄超过25年(P0.001)、喉咽反流(P0.01)、嗓音滥用(P0.01)与声带任克水肿分度有关。所有患者均经全麻支撑喉镜显微镜下行声带外侧微瓣术,术后随访一年以上,7例复发。结论吸烟、喉咽反流、嗓音滥用与声带任克水肿分度及复发有关,其中烟龄影响较大,烟龄越长,水肿程度越重。
[Abstract]:Objective to investigate the common factors affecting the severity of vocal cord edema (Reinke's edema). Methods 85 patients with vocal cord edema were divided into I degree 19 cases, II degree 49 cases and III degree 17 cases according to the degree of lesion. The relationship among smoking, voice abuse and laryngeal reflux were analyzed. Results among the 85 cases, 67 cases were negative and 18 cases were positive, 43 cases had voice abuse, 42 cases had no voice abuse, 66 cases had history of smoking, 19 cases had no history of smoking, 25 cases had smoking age 鈮,
本文编号:2460754
[Abstract]:Objective to investigate the common factors affecting the severity of vocal cord edema (Reinke's edema). Methods 85 patients with vocal cord edema were divided into I degree 19 cases, II degree 49 cases and III degree 17 cases according to the degree of lesion. The relationship among smoking, voice abuse and laryngeal reflux were analyzed. Results among the 85 cases, 67 cases were negative and 18 cases were positive, 43 cases had voice abuse, 42 cases had no voice abuse, 66 cases had history of smoking, 19 cases had no history of smoking, 25 cases had smoking age 鈮,
本文编号:2460754
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