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目的探索痉挛性发音障碍(spasmodicdysphonia)与声带麻痹发病关系。方法用肌电图仪测定喉内肌电位,用电视闪光放大喉镜录像观察声带运动状态,将声带麻痹程度分为轻、中、重三度。结果1983~1994年12年中遇到轻、中、重声带麻痹1300例,在1300例中伴有痉挛性发音障碍者5例;其中重度和中度声带麻痹者各1例,轻度者3例。结论通过5例的观察,发现声带麻痹的进行或治愈过程中皆可出现痉挛性发音障碍,考虑此5例为喉周围神经器质性病变所引起。
Objective To explore the relationship between spasmodic dysphonia and vocal cord paralysis. Methods The myoelectric potential of the larynx was measured by electromyography. The vocal cord movement was observed by video flashing laryngoscopy. The degree of vocal cord paralysis was divided into mild, moderate and severe degree. Results In the 12 years from 1983 to 1994, 1,300 cases of mild, moderate and severe vocal cord paralysis were encountered, and in 1300 cases, 5 cases were accompanied by spasmodic dysphonia. Among them, 1 case was severe and moderate vocal cord paralysis, 1 case was mild 3 example. Conclusion Through the observation of 5 cases, spasmodic dysphonia can be found during the progression or cure of vocal cord paralysis, which is caused by the organic lesion of the laryngeal nerve.