关键词: 优先选择, 类固醇激素, 语音治疗, 制酸治疗, 喉非特异性肉芽肿

Abstract:

Objective   To explore the efficiency and effectiveness of comprehensive treatment for laryngeal nonspecific granuloma. Methods   20 patients with laryngeal nonspecific granuloma were enrolled. Among them, 8 patients with endotracheal intubation history were performed with self-retaining laryngoscope operation and 2-week corticosteroid inhalation without any other conservative treatment. 12 cases, without endotracheal intubation history, were administered chiefly with acid inhibitors combined with self-retaining laryngoscope operation, corticosteroids inhalation and phonological treatment. Results   All the patients were followed up for 6 months after the treatments. Among the patients with endotracheal intubation history, one case recurred and was cured by surgery and corticosteroid inhalation. 10 cases of patients with Non-endotracheal intubation history were cured by acid suppression therapy only.  2 cases were cured by self-retaining laryngoscope operation combined with corticosteroid inhalation and phonological therapy. Conclusion   The reason of laryngeal nonspecific granuloma is complicated and the treatment methods are various.  For those with endotracheal intubation history, surgery and postoperative corticosteroids inhalation is preferable. For those without endotracheal intubation history, acid suppression therapy combined with comprehensive treatment is the first choice.

Key words: Corticosteroids, Phonological treatment, Laryngeal nonspecific granuloma, Acid suppression therapy, Preferable choice