全麻显微支撑喉镜下声带手术135例疗效分析  

Curative effect of cocal cord surgical treatment with a suspension micro-laryngoscope under general anesthesia:a report of 135 cases

作　　者：赵雅铭[1] 顾能荣[1] 张桂娟[1] 

机构地区：[1]上海市长宁区中心医院耳鼻喉科,上海200336

出　　处：《山东大学耳鼻喉眼学报》2007年第4期341-342,345,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的：观察全麻显微支撑喉镜下声带息肉、小结、白斑、囊肿摘除术后的临床疗效。方法：回顾性分析我院135例相关患者的临床资料,术前均行纤维喉镜检查,术后常规病理分析,随访0.5～7.0年。结果：121例患者声带息肉中118例术后2周发音恢复正常,3例因手术创面较大发音恢复稍差。声带小结、白斑、囊肿患者随访半年以上无复发,总治愈率97.78%。结论：全麻显微支撑喉镜下手术对声带局限性病变切除彻底,复发率低。Objective： To investigate the clinical curative efficacy of micro-laryngoscopic surgery on polyps, nodules, leukoplakia and cysts of the vocal cords with a suspension micro-laryngoscope under general anesthesia. Methotis： The clinical data of 135 cases from 1999 to 2001 in our hospital were reviewed and analyzed. All received laryngo- scopic examination before the surgery and regular pathologic determination after the surgery. All cases were followed up for half a year to 7 years. Results： Among 121 cases of vocal cord polyps, 118 cases recovered pronunciation within 2 weeks and 3 cases recovered less well due to a large trauma. No nodules, leukoplakia and cysts of the vocal cords relapsed within half a year in the following up. The success rate was 97.78%. Conclusion： Surgery for localized pathological changes with a suspension laryngoscope under general anesthesia is a safe and reliable treatment with a low rate of relapse.

关 键 词：支撑显微喉镜 声带 

分 类 号：R791[医药卫生—临床医学]