喉钻治疗声带良性病变的体会

发布时间：2018-08-03 10:20

【摘要】：目的：研究全身麻醉显微镜支撑喉镜下喉钻切除声带良性病变的疗效。方法：回顾性分析2009年3月至2010年12月间我科收治入院的119例声带良性病变患者,术前行喉内窥镜检查,保存图片资料。术后经病理检查明确临床诊断为声带息肉的81例,声带角化症9例,声带囊肿24例,声带白斑5例。均经全身麻醉显微镜支撑喉镜下喉钻切除声带良性病变,术后跟踪随访1月至3月,行喉内窥镜检查声带恢复情况,及患者临床症状改善情况,保存资料,研究其在临床上的疗效及应用价值。结果：本组对119例患者施行“全麻显微镜支撑喉镜下喉钻声带良性病变切除术”,通过术后跟踪随访及统计资料表明,病人术后声音嘶哑程度较术前消失或明显改善,全组有效率达100%,以微型喉钻切除声带良性病变,不易损伤正常声带粘膜,提高了手术的精细程度,从而提高了手术效果。也减少了手术并发症的发生,本组119例患者无一例并发症发生。结论：对于较小、带蒂声带良性病变,如果患者对嗓音质量要求不高可于门诊行喉内镜下手术治疗,一般医院均可开展。对于基底广、较大的声带良性病变及息肉样变者,行全麻显微镜支撑喉镜下喉钻切除术效果最佳。因其对设备、麻醉均有一定要求,较大医院可广泛开展。全麻显微镜支撑喉镜下喉钻切除声带良性病变具有手术视野清晰、观察细微、手术准确、误伤少、病变切除彻底、复发率低的优点,是声带良性病变切除的较好方法。
[Abstract]:Objective: to study the effect of laryngectomy with laryngoscope under general anesthesia microscope. Methods: 119 patients with benign vocal cord diseases admitted to our hospital from March 2009 to December 2010 were analyzed retrospectively. The laryngeal endoscopy was performed before operation and the image data were saved. After operation, 81 cases of vocal cord polyps, 9 cases of vocal cord keratosis, 24 cases of vocal cord cyst and 5 cases of vocal cord leukoplakia were confirmed by pathological examination. The benign lesions of vocal cord were resected by laryngoscope supported by general anesthesia microscope, followed up from 1 to 3 months after operation, the patients were examined by laryngoscope to check the recovery of vocal cord, and the clinical symptoms were improved, and the data were preserved. To study its clinical efficacy and application value. Results: 119 patients were treated with "laryngeal drilling vocal cord benign lesion resection under laryngoscope under general anesthesia microscope". The results of follow-up and statistical data showed that the degree of hoarseness disappeared or improved significantly after operation. The effective rate of the whole group was 100. The benign lesions of vocal cord were resected with larynx drill. It was not easy to damage the normal vocal cord mucosa, and the fine degree of operation was improved, thus the operation effect was improved. No complication occurred in 119 patients. Conclusion: for small, pedicled vocal cord benign lesions, if the voice quality is not high, patients can be treated by laryngeal endoscopic surgery in outpatient department, general hospitals can carry out. Laryngectomy with laryngoscope supported by general anesthesia microscope is the best for the patients with large benign vocal cord lesions and polyposis. Because of its equipment, anesthesia have certain requirements, larger hospitals can be widely carried out. Laryngectomy with laryngoscope under general anesthesia microscope has the advantages of clear visual field, fine observation, accurate operation, less accidental injury, complete resection of lesion and low recurrence rate, which is a good method for resection of vocal cord benign lesions.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R767

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