显微喉手术300例临床分析  

Microlaryngoscopie Surgery (A Clinical Analysis of 300 cases)

作　　者：林尚泽[1] 李守仁[1] 

机构地区：[1]贵阳医学院耳鼻咽喉科学教研室

出　　处：《贵阳医学院学报》1989年第1期34-37,共4页Journal of Guiyang Medical College

摘　　要：作者等于1985年10月至1987年12月期间,在高频正压通气法给氧的静脉复合麻醉下,对300例喉部细微病变患者进行了显微手术治疗。其中221例术后1个月以上随访。结果,发声基本恢复正常或明显好转的占90.7％。文内对手术适应症、操作方法、疗效、并发症等方面进行了讨论。Microsurgery have been used in the field of Laryngology since 1960. The first formal report of microlaryngoscopic surgery in Chinese literature appeared in 1985. We adopted this technic in treating fine lesions of the larynx under compound venous anaesthesia. There were 300 cases altogether during the period from Oct 1985 Dee 1987. The lesions were as follows: Vocal cord polyps 172 cases, vocal nodules 50 cases, edema, hyperplasia or polypoid change of the vocal cord 58 cases, cyst of the cord 7 cases, amyloidosis of the vocal cord 6 cases, hyperpiasia of the ventricular fold 5 cases, vocal cord abscess 1 case and papilloma of the cord 1 case. The discovery of bilateral lesions under operating microscope is higher as much as 5 times than by naked eyes under indirect or direct laryngoscopy. The results getting by inquiry at least 1 month after discharge are as fol- lows: complete recovery 60.2%, significant relief 30.5%, no change 6.2% and even worse than before 3.1%. The total effective rate is 90.7%.

关 键 词：喉 显微外科 手术 

分 类 号：R767.9[医药卫生—耳鼻咽喉科]