论文部分内容阅读
对于声带小结和息肉,至今有三种认识: (1)声带小结、息肉和息肉样变性是同一病变过程的不同时期,由喉功能性疾患所引起的器质性病变(Paparella,1973);(2)归属于非特异性慢性喉炎(Ballenger,1977);及(3)声带小结是发声创伤的结果,而声带息肉属于肿瘤(Ballentyne,1978)。临床上区分三者有三种意见: (1)有蒂的为息肉,宽基的为小结,弥漫性的为息肉样变性(Epstein,1957)。(2)位于声带前中三分之一交界处宽基对称呈圆锥形或圆弧形与声带同色的为小结,涉及声带全长弥漫性肿胀的为息肉样变性,此外均为息肉;双侧性而比小结大、接触部分能移动,两侧大小不等的也列为息肉(马场,1966)。(3)小的为小结,大的为息肉,弥漫性的为息肉样变性(Arnold,1973)。若根据病理组织学表现区分:病变局限于上皮的为小结,病变在固有层以水肿为主的为
For vocal nodules and polyps, so far there are three kinds of understanding: (1) vocal nodules, polyps and polypoid degeneration of the same lesion during different stages of organic diseases caused by throat disease (Paparella, 1973); (2 ) Belonged to nonspecific chronic laryngitis (Ballenger, 1977); and (3) vocal nodules were the result of vocal cord trauma, whereas vocal cord polyps were tumor (Ballentyne, 1978). There are three clinically differentiated three views: (1) pedunculated polyps, wide base for the summary, diffuse polypoid degeneration (Epstein, 1957). (2) at the junction of one third of the front of the vocal cords, the wide-base symmetry is conical or arc-shaped with the same color as the vocal nodules, involving the diffuse swelling of the vocal cord for polypoid degeneration, in addition to polyps; both sides Sex and larger than the summary, the contact part can move, ranging from both sides of the polygamy (Racecourse, 1966). (3) small for the summary, large polyps, diffuse polypoid degeneration (Arnold, 1973). According to the histopathological manifestations of differentiation: lesion confined to the epithelium for the summary, the lesion in the lamina propria of edema-based