支撑喉内镜下声带注射术治疗慢性肥厚性喉炎

发布时间：2018-05-19 23:14

本文选题：慢性喉炎 + 支撑喉镜　；参考：《中国内镜杂志》2014年09期

【摘要】：目的探讨全身麻醉支撑喉内镜下声带注射得宝松治疗慢性肥厚性喉炎的疗效。方法对40例慢性肥厚性喉炎患者在全身麻醉支撑喉内镜下声带注射得宝松,术前、术后分别应用嗓音声学分析、嗓音障碍指数量表及纤维喉镜检查进行评估。结果患者术后频率微扰(jitter)、振幅微扰(shimmer)、噪谐比(NHR)及噪音障碍指数(VHI)得分均较术前明显降低,差异有显著性(P0.05)。纤维喉镜检查示声带充血、水肿、肥厚术后较术前比:无或仅有较轻者28例(28/40),明显减轻者10例(10/40),变化不明显者2例(2/40)。术后未发现声带萎缩病例。结论支撑喉内镜下声带注射得宝松治疗慢性肥厚性喉炎,疗效显著,并发症少,手术视野清晰,精细准确。
[Abstract]:Objective to investigate the effect of general anesthesia supporting laryngoendoscopy for the treatment of chronic hypertrophic laryngitis. Methods Forty patients with chronic hypertrophic laryngitis were treated with Deposon under general anesthesia and laryngoscope. Voice acoustic analysis, voice disturbance index scale and fiberoptic laryngoscope were used before and after operation. Results the scores of frequency perturbation, amplitude perturbation immersion, NHRs and VHII were significantly lower than those before operation (P 0.05). Fiberoptic laryngoscopy showed hyperemia, edema and hypertrophy of vocal cords in 28 / 40 cases without or only lighter, 10 / 10 / 40% of 10 / 40 cases in 10 / 10 / 40 cases, and 2 / 40% in 2 / 40 cases without obvious changes. No cases of vocal cord atrophy were found after operation. Conclusion the treatment of chronic hypertrophic laryngitis by injection of Teprasone into vocal cord under laryngeal support endoscope has obvious curative effect, few complications, clear visual field and fine accuracy.
【作者单位】：北京大学人民医院耳鼻咽喉头颈外科;
【分类号】：R767.91

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