神经源性声带运动障碍与喉神经电生理

声带运动障碍的病因和临床表现复杂多变，涉及多学科，从病因上分为神经源性和非神经源性。对于神经源性声带运动障碍的诊治，首先通过喉镜等检查明确有无声带运动障碍及严重程度，值得注意的是声带纵向张力变化障碍也属于运动障碍的范畴；然后采用喉肌电图（LEMG）检查进行定性分析，在确诊神经源性损伤后，进一步对神经损伤部位进行定位诊断并查找导致神经损伤的病因；同时根据喉部神经电生理评估结果，判断预后。最后综合上述的评估结果制定相应的治疗策略。

Neurogenic vocal fold movement disorders and laryngeal nerve electrophysiology

The etiologies and clinical manifestations of vocal fold movement disorders are complex and varied, involving multiple disciplines. The etiologies are mainly divided into neurogenic and nonneurogenic. Firstly, laryngoscope and other examinations are used to determine the existence of vocal fold dyskinesia and its severity. It should be noted that the disorder of vocal fold longitudinal tension also belongs to the category of dyskinesia. Then the laryngeal electromyography is used for qualitative analysis. After the diagnosis of neurogenic injury is confirmed, the location of the nerve injury is further diagnosed, and the cause of the nerve injury could be found. Simultaneously, the prognosis could be determined according to the result of laryngeal nerve electrophysiological assessment. Finally, the above evaluation results are synthesized to formulate corresponding treatment strategies.