摘要
目的:探讨汉族和维吾尔族声嘶患者病因分布特点。方法:对933例声嘶患者纤维喉镜检查结果进行分析,其中汉族654例,维吾尔族279例,并将其分成不同年龄组进行比较。结果:汉族声嘶常见病因为声带息肉(31.8%)、慢性喉炎(24.9%)、声带小结(12.2%)、喉癌(11.2%)和声带麻痹(9.9%),占其总人数的90.1%;维吾尔族声嘶常见病因为慢性喉炎(27.2%)、声带麻痹(21.1%)、声带息肉(19.4%)、喉癌(12.9%)、喉乳头状瘤(7.9%)和声带小结(7.9%),占其总人数的96.4%。二者声嘶病因分布差异有统计学意义(χ2=73.19,P<0.01)。声带息肉、声带麻痹和喉乳头状瘤在二者之间的差异有统计学意义(P<0.01)。汉族和维吾尔族在2～20岁组、21～40岁组、41～60岁组声嘶疾病分布均差异有统计学意义(均P<0.01);而在61～85岁组声嘶疾病分布差异无统计学意义(P>0.05)。结论:引起声嘶的疾病在汉族、维吾尔族总体及不同年龄组分布有差异,汉族儿童和青少年以慢性喉炎、声带小结为主,中青年以声带息肉、慢性喉炎为主;维吾尔族则分别以慢性喉炎、喉乳头状瘤与慢性喉炎、声带息肉和声带麻痹为主;二者在老年人组分布无差异,以喉癌、声带麻痹为主。
Objective：To evaluate clinical characteristics of distribution of causes of hoarseness in the Han and the Uighur. Method： The date of 933 cases of hoarseness in different ages, which included 654 cases of the Han and 279 cases of the Uighur, were analyzed with largyofiberoscope. They were divided into different age groups and were compared. Result： The common causes of hoarseness of the Han, which occupied 90. 1% of its all cases, were polyp of vocal cord（31.8%）,chronic laryngitis（24.9%）,vocal nodule（12.2%）,carcinoma of larynx（ll. 2%）,pa- ralysis of vocal cord（9.9%） ;While thal of the Uighur, which occupy 96.4% of its all cases, were chronic laryngitis（27.2%） ,paralysis of vocal cord （21.1%）,polyp of vocal cord（19.4%）,carcinoma of larynx（12.9%）,laryngeal papillomatosis（7. 9%）, vocal nodule （7.9G）, there was significant difference between them（χ^2= 73. 19, P〈7 0.01）and significant difference between them in distribution of polyp of vocal cord,paralysis of vocal cord and laryngeal papillomatosis（P〈0.01）. There also significant difference among 2 to 20 years old group,21 to 40 years old group and 41 to 60 years old group. However 61 to 85 years old group was excepted. Conelusion：There was difference in distribution of causes of hoaresness between the Han and the Uighur, which was also different in different ages of them. The main causes of hoarseness in the Han were chronic laryngitis and vocal nodule in children and teenagers, polyp of vocal cord and chronic laryngitis in youth and adult, while in the Uighur, they were chronic laryngitis and laryngeal papillomatosis in children and teenagers,chronic laryngitis, polyp of vocal cord and paralysis of vocal cord in youth and adult; In the aged, there was no Statistical difference between the two nations, and the major couse was carcinoma of larynx and paralysis of vocal cord.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2008年第24期1138-1140,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
声嘶
纤维喉镜
维吾尔族
汉族
Hoarseness
Laryngofiberoscope
The Uighur
The Han
