杓状软骨复位术治疗环杓关节脱位的临床分析

Clinical analysis of arytenoid reduction for the arytenoid cartilage dislocation

摘要:

摘要：目的探讨环杓关节脱位的临床特性以及杓状软骨复位的治疗技术。方法回顾性分析2014年7月~2017年4月收治的17例环杓关节脱位患者进行杓状软骨复位治疗的临床资料，分析其病因、治疗手法、诊治时机及疗效。结果17例患者中2例1次复位成功，3例2次复位成功，其余12例均行3~4次复位治疗，其中6例关节活动未能完全恢复正常，但所有患者发音质量GRBAS评分均有明显改善。结论杓状软骨复位是治疗环杓关节脱位的有效治疗方法，病程越短相对复位效果越满意，但较长病程患者进行复位治疗仍有助于嗓音改善。

Abstract:

Abstract:ObjectiveTo investigate the clinical characteristics and diagnosis of arytenoid cartilage dislocation as well as its treatment with arytenoid reduction. MethodsClinical data of 17 patients suffering from arytenoid cartilage dislocation treated with closed reduction in our department from July 2014 to April 2017 were analyzed retrospectively. The analyzed data included the cause, treatment method and opportunity along with the curative effect. ResultsOf all the 17 patients, closed arytenoid reduction was successfully performed in 2 cases at once, 3 cases after two times. The remaining 12 cases received reduction for 3-4 times. Although 6 of them did not regain normal movement, their GRBAS for sound quality got improved significantly.ConclusionsArytenoid reduction is an effective treatment method for arytenoid cartilage dislocation. The shorter the course the better the treatment effect can be achieved. However, the patients with long course can still get effective improvement of the sound quality by this procedure.