喉内镜检查的临床意义幻灯片.ppt

雷氏水肿 I期 雷氏水肿 II期 雷氏水肿 III期 雷氏水肿 III期 Partially Stiff Mucosa When the mucosa is partially stiff, the wave stops travelling at the stiff portion. Sulcus vocalis, localized scar, small cyst, small carcinoma, or small epithelial hyperplasia 粘膜部分僵硬 Sulcus vocalis localized scar 局部疤痕 small cyst 较小的囊肿 small carcinoma较小的癌 small epithelial hyperplasia小区上皮增生 声带沟 血管性囊肿 癌：T1N0 The Greater the Subglottal Pressure, the More Marked the Mucosal Wave Loudness phonation 声门下压越大，粘膜波越明显 响亮发声 Tight or Loose Glottal Closure Too tiger or loose glottal closure results in a decrease of mucosal wave Hyperkinetic phonation, or kypokinetic phonation 声门关闭得紧或松 功能亢进性，功能低下性。 Non-vibrating Portion Non-vibrating Portion If any portion of the vocal fold does not vibrate or remain immobile during phonation, this should be specified. The absence of vibratory movement can occur either occasionally or always, or either partially or entirely on the vocal folds. Non-vibrating Portion Ratings None Occasionally, Partially Always, Partially Occasionally, Entirely Always, Entirely Immobility Supraglottal Observation Supraglottal Observation If the part(s) of supraglottal structures are involved in vibratory movements, this should be specified as: The bilateral false folds are vibrating. The left arytenoid region displays vibration. The right arytenoid region and base of the epiglottis present with irregular vibration. The entire glottal structure is seen to tremor. The supraglottal structures squeeze together. Summary Interpretation of Major Parameters Fundamental Frequency 基频 Periodicity 周期性 Amplitude of H. Excursion 振幅的水平位移 Glottal Closure 声门关闭 Symmetry of Bilateral Movement 双侧运动对称性 Mucosal Wave 粘膜波 Non-vibrating Portion Supraglottal Observation 声带间障碍 A foreign body, or a granuloma 由异物，喉蹼或肉芽肿引起。 肉芽肿 扁平溃疡性肉芽肿 双侧巨型肉芽肿 喉狭窄：喉肉芽与粘连 血管病理月经期后静脉曲张和水肿 血管病理微静脉曲张, 血管瘤 Stiff Edge If the edge is stiff, no mucosal wave occurs or the Bernolli effect does not work efficiently. (S