激光在喉狭窄治疗中的应用(附13例报告)  

The Application of Laser Therapy in the Treatment of Laryngeal stenosis -13 Cases Report

作　　者：庄惠学[1] 梁树新[1] 纪宏志[1] 王抗美[1] 贡振扬[1] 

机构地区：[1]济南军区总医院耳鼻咽喉科

出　　处：《激光生物学报》1997年第2期1074-1077,共4页Acta Laser Biology Sinica

摘　　要：采用支撑喉镜、喉造口以激光治疗喉狭窄１３例，均观察１年４个月以上。包括先天性喉蹼、声带粘连、双侧喉返神经麻痹、多发性复发性喉乳头状瘤多次手术无效、喉外伤后甲状软骨及其内结构严重破坏，继发感染伴喉腔大量肉芽生长及瘢痕形成者。１３例声嘶均得到不同程度改善，１２例呼吸恢复正常，另１例改用其它方法治愈。因此认为激光治疗喉狭窄具有其他手术方法不可比拟的优越性。喉造口是治疗多发性复发性喉乳头状瘤及严重喉外伤喉内大量肉芽生长的好方法。Thirteen patients with laryngeal stenosis were treated by laser through self-retaining laryngoscope or laryngostomy approach. All of them were followed up at least 16 months and the results were satisfactory. The laryngeal lesions include congenital laryngeal webs , adhension of vocal cord. bilateral recurrent laryngeal nerve paralysis , multiple recurrrent papilloma of larynx, extensive granulation and scar formation after laryngeal injuries and secondary infections. The hoarseness of all 13 cases was improved in different extent, and the respiratory function of 12 cases returned to normal, the other one was cured by other therapy. The results indicate that laser therapy has more advantages to other surgical managments, and laryngostomy provide us a good approach for the treatment of multiple recurrent papilloma of larynx and extensive grannulation after serious injuries of larynx. But the duration of postoperative observation must be lasted for 2-3 months before the laryngeal cavity is closed.

关 键 词：喉狭窄 激光外科 外科手术 

分 类 号：R767.91[医药卫生—耳鼻咽喉科] R616.4[医药卫生—临床医学]