声带小结的特点专题讲座.ppt

NO.8 Voice fold nodules——Effection × reduces or obstructs the ability of the vocal folds to create the rapid changes in air pressure which generate human speech × after surgical removal,have scar tissue(疤痕组织) on the vocal folds, which increases the likelihood that the nodules will recur复发. This may lead to a persistence 持续固执 of vocal nodules well into adulthood (Boone et al., 2010). × affect the childs quality of life in other ways as well —in the social-emotional aspects of children with vocal nodules Treatment Diagnose Prognosis Effection Typical symptoms Pathological changes Appearance Location Cause Definiton History VN NO.9 Voice fold nodules—— Prognosis（预后预知 ） Vocal cord nodules, although they can certainly impair ones speaking and singing ability, rarely harm ones general health. Indeed, the psychological trauma of being diagnosed with nodules—a trauma affecting those especially whose professional success depends on consistently producing a rich and powerful vocal tone (e.g. singers, actors, litigation lawyers, broadcasters) —typically dwarfs the limited systemic and even otolaryngological effects. Treatment Diagnose Prognosis Effection Typical symptoms Pathological changes Appearance Location Cause Definiton History VN NO.10 Voice fold nodules—— Diagnose 纤维喉镜 NO.10 Voice fold nodules—— Diagnose 1现代医学喉镜检查声带前、中1/3的交点的游离缘，两侧对称性突起 早斯如红色柔软的息肉样变，并有水肿。 病程长者，呈苍白小突起，半透时，表面光滑，基底可见少数小 血管，发音时两侧小结相贴而妨碍声带闭合。 诊断病人常有用声不当或用声过度中，间歇性或持续性声嘶。 两侧声带均有同样对称性病变，状如粟米，色灰白，表面光滑， 基底部稍充血。 NO.10 Voice fold nodules—— Diagnose 2中医学 中医“声嘶”范畴。 本病多因说话失度，过久过劳，伤气动火，致气血瘀滞， 痰浊凝聚而成。辨证依据：发音困难，声音嘶哑，咽喉不适，局部可见声带小结。 NO.10 Voice fold nodules—— Diagnose 3临床分析发音困难，声音嘶哑，咽喉不适，时感喉部有粘痰，咳之不出， 查见小结多呈水肿状，质软，色微红而润， 咽喉粘膜可有轻度充血，舌苔薄腻，脉平或见滑数者为水湿凝聚型。发音困难，声音嘶哑较甚，咽喉不适，查见小结色白质硬， 苔薄，脉平或沉迟者为血淤痰结型。 NO.10