首页|期刊导航|中国耳鼻咽喉颅底外科杂志|喉肌电图在声带麻痹诊断中的研究进展

喉肌电图在声带麻痹诊断中的研究进展OA

Research progress of laryngeal electromyography in the diagnosis of vocal fold paralysis

中文摘要英文摘要

声带麻痹(VFP)是由多种原因引起支配喉内肌的运动神经传导通路受损,进而导致声带运动障碍的疾病.目前临床评估方法以喉镜、嗓音声学评估、CT 及喉肌电图(LEMG)为主.其中 LEMG 为诊断 VFP 的金标准,通过对喉肌及神经电生理信号的采集,评估其损伤性质及程度,并进行定位、定性、定量及预后评估.然而,现阶段临床上 LEMG 的应用标准尚不统一.本文综述了 VFP 的病理生理机制和 LEMG 在 VFP 诊断方面的研究进展,旨在提升耳鼻咽喉科医师对该疾病的诊断准确率.

Voice fold paralysis(VFP)is a disease caused by various factors that impair the neural pathways controlling the muscles within the larynx,leading to vocal cord movement disorders.The current clinical assessment methods mainly include laryngoscopy,voice acoustic assessment,CT,and laryngeal electromyography(LEMG).Among them,LEMG is the gold standard for diagnosing VFP.By collecting electrophysiological recordings from the laryngeal muscles and nerves,it is possible to assess the nature and extent of the damage,enabling precise,qualitative,and quantitative diagnosis and prognosis evaluation.However,the standards for the application of clinical LEMG are not yet uniform.This paper reviews the pathophysiological mechanism of VFP and the research progress of LEMG in the diagnosis of VFP.The aim is to improve the diagnostic accuracy of otolaryngologists for VFP.

郭文轩;皇甫辉;赵浒;党春桃

山西医科大学,山西 太原 030001山西医科大学第一医院 耳鼻咽喉头颈外科,山西 太原 030001山西医科大学第一医院 耳鼻咽喉头颈外科,山西 太原 030001山西医科大学第一医院 耳鼻咽喉头颈外科,山西 太原 030001

医药卫生

声带麻痹喉肌电图诊断定量分析神经损伤

Vocal fold paralysisLaryngeal electromyographyDiagnosisQuantitative analysisNeurological injury

《中国耳鼻咽喉颅底外科杂志》 2026 (2)

114-118,5

10.11798/j.issn.1007-1520.202625150

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