声帯結節の臨床的検討 A Clinical Study of Cases with Vocal Fold Nodules
過去5年間に東京ボイスセンターを受診した声帯結節症例902例に対して臨床的検討を行い, 以下の結論を得た.<BR>1.女性789例, 男性113例で女性が全体の87%を占めた.10歳までは男児に多く男児が78%であるのに対し, 11歳以上では女性が90%であった.<BR>2.声の職業性は全体の70%に認めた.<BR>3.音声治療単独の治癒率は43%で治癒までの平均加療期間は3.1ヵ月であった.<BR>4.ステロイド療法単独の治癒率は56%で治癒までの平均加療期間は2.8週であった.<BR>5.手術後の再発率は42%, 追加治療による治癒率は74%で, 非再発群と再発後治癒群を併せた手術後の治癒率は他の治療法と比較し有意に高い結果となった.<BR>6.音声治療において病悩期間が3ヵ月以内の症例では他の期間と比較して治癒率が有意に高い結果となった.<BR>7.以上の結果より患者の希望する治癒までの期間と病悩期間から声帯結節の治療指針を提唱した.
During the 5-year period from 2001 to 2005, 902 patients with vocal fold nodules were examined and treated at Tokyo Voice Center. In this paper the clinical records of those patients were studied statistically. The results were as follows.<BR>1. Of the 902 patients, 113 were males and 789 were females. The incidence was higher in males in children aged 10 and under, and higher in females over age 10. The average age was 32.9.<BR>2. Seventy percent of the cases were professional voice users.<BR>3. In 165 patients treated by voice therapy alone, the complete remission (CR) rate was 43%. In these CR cases, average treatment time was 3.1 months. The CR rate was significantly higher in cases whose duration of hoarseness prior to the first visit was within three months.<BR>4. In 222 patients who underwent steroid therapy, the CR rate was 56%. In these CR cases, average treatment time was 2.8 weeks.<BR>5. Surgical treatments were chosen in 250 cases. Although recurrences were seen in 42%, 74% of those patients obtained CR after additional treatments such as steroid therapy. As 58% had no recurrence, in total 90% of the surgical patients were doing well. The CR rate was significantly higher in the surgical patients than in cases who received any other treatment.
- 音声言語医学 = The Japan Journal of Logopedics and Phoniatrics
音声言語医学 = The Japan Journal of Logopedics and Phoniatrics 49(3), 149-154, 2008-07-20
The Japan Society of Logopedics and Phoniatrics