摘要
目的 探讨声带突肉芽肿的治疗方法及临床疗效.方法 总结分析我科2007年1月～2013年1月临床诊断为声带突肉芽肿的32例患者的治疗方法及疗效,治疗方法包括支撑喉镜下显微外科手术、质子泵抑制剂抗胃酸反流及纠正不良发声习惯.结果 32例患者中,12例患者接受支撑喉镜下显微外科手术切除治疗,9例患者术后复发,3例治愈;29例患者接受抗胃酸反流治疗包括9例术后复发患者,抗酸治疗疗程3～6个月,23例声带突肉芽消失,6例明显缩小.结论 胃酸反流是声带突肉芽的一个重要致病因素,手术治疗复发率高,联合抗胃酸反流治疗效果佳.
Objective To analyze the outcomes of vocal process granulomas treated with microsurgical operation or proton pump inhibitors.Methods We reviewed the medical records of patients with a diagnosis of vocal process granuloma between 2007 and 2013.All patients were treated with daily or twice-daily proton pump inhibitors or microsurgical operation under suspension laryngoscope.Results Twelve granulomas in 32 patients were treated with microsurgical operation.Nine cases had recurrence,only 3 cases had been cured.Of the 29 granulomas were treated with proton pump inhibitor,including the 9 recurrence cases treated with operations,23 cases completely responded,6 cases partially responded.Conclusion In this study,the anti-reflux proton pump inhibitors successfully treats most vocal process granulomas with low rates of side effects and recurrence.
出处
《西部医学》
2013年第11期1666-1668,共3页
Medical Journal of West China
关键词
声带突
肉芽肿
胃酸反流
Vocal process
Granulomas
Acid reflux
