【摘要】 目的:探讨喉麻痹的原因和杓状软骨内移术的手术效果。方法:对127例接受杓状软骨内移术的喉麻痹病例进行临床观察及疗效分析,对患者的年龄、性别、麻痹的原因、术前术后的最大发声时（MPT）、追加治疗的有无等进行了探讨。结果:术后性麻痹97例（76.4％）,非术后性麻痹30例（23.6％）。左侧81例（63.8％）。术后MPT的平均值,男性延长了2.6倍,女性延长了2.4倍。结论:行杓状软骨内移术的一侧喉麻痹,术后性麻痹占大多数。94％的病例术后发音持续时间得到了延长,杓状软骨内移术对于一侧喉麻痹的外科治疗具有重要意义。更多还原

【Abstract】 Objective: Our aim was to discuss the cause of laryngeal paralysis and the effect of arytenoid adduction. Methods: One hundred and twenty-seven patients with laryngeal paralysis were included in this study and accepted arytenoid adduction. Items, including age, sex, cause of laryngeal paralysis, maximum phonation time (MPT) before and after operation, additional treatment were examined. Results; There were 97 cases of postoperative paralysis (76.4% ) , 30 of nonoperative paralysis (23. 6% ) , and 81 of left side paralysis (63. 8% ). The average of MPT after operation prolonged 2. 6 times in men and 2.4 times in women. The percentage of additional intravocal injection after operation was 24. 7%. Conclusion: Postoperative paralysis is the major in patients with one-side laryngeal paralysis who received arytenoid adduction. The MPT of 94% cases were prologed after operation. So it can be concluded that arytenoid adduction might be one of the most effective treatments for one-side laryngeal paralysis.更多还原