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目的了解声嘶患儿的发病病因及临床特点。方法调查我院2007～2009年诊治的556例声嘶患儿的病因,同时探讨治疗与干预对策。结果经调查显示,556例声嘶患儿中,声带小结231例(41.5%),慢性喉炎180例(32.4%),声带息肉54例(9.7%),喉乳头状瘤40例(7.2%),急性及亚急性喉炎33例(5.9%),声带未见病变18例(3.2%)。6种情况在不同年龄段的分布不同,其中喉乳头状瘤在1～3岁的幼儿中比例最高(60%,24/40),声带小结在学龄前儿童中比例最高(45.9%,106/231),差异有显著统计学意义(P<0.01)。结论儿童声嘶病因复杂,声带小结、慢性喉炎是引起儿童声嘶的主要病因,应针对不同的病因采取不同的治疗方法。
Objective To understand the etiology and clinical features of children with hoarseness. Methods To investigate the etiology of 556 cases of hoarseness in our hospital from 2007 to 2009, and to discuss the treatment and intervention strategies. Results The survey showed that 231 cases (41.5%) of vocal nodules, 180 cases (32.4%) of chronic laryngitis, 54 cases (9.7%) of vocal cord polyps, 40 cases (7.2% ), 33 cases (5.9%) of acute and subacute laryngitis, and 18 cases (3.2%) of no vocal cord lesions. Among the 6 cases, the distribution of laryngeal papilloma was the highest in children aged 1-3 years (60%, 24/40). The proportion of vocal nodules was the highest in preschool children (45.9%, 106 / 231), the difference was statistically significant (P <0.01). Conclusion Children with hysterics complicated, vocal nodules, chronic laryngitis is the main cause of children hoarseness, different treatments should be taken for different causes.