CO_2激光结合自制喉扩张管治疗喉狭窄  

Application of CO_2 laser and self-made laryngeal dilator in the treatment of the laryngeal stenosis

作　　者：钟刚[1] 熊新高[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第19期1708-1710,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨CO2激光结合自制喉扩张管治疗喉狭窄的治疗效果。方法：对25例喉狭窄患者进行全身麻醉支撑喉镜下CO2激光切除喉内瘢痕组织,从气管造口置入自制喉扩张管。结果：25例患者中,24例在术后1~12个月经检查拔管,1例再次手术后9个月经检查拔管。随访1~2年,所有患者拔管后声音恢复较好,3例发生再次喉狭窄。结论：CO2激光结合自制喉扩张管治疗喉狭窄具有扩张效果好、并发症少、创伤小、术后恢复快等优点。自制的喉扩张管制作简单、固定牢靠、清洗方便。Objective：To study the treatment effect of CO2 laser and self-made laryngeal dilator on the laryngeal stenosis. Method：Twenty-five patients with laryngeai stenosis were treated with CO2 laser and self-made laryngeal dilator. The laryngeal cavity scar was resected as much as possible by using CO2 laser and the laryngeal cavity was exposed by placing laryngeal dilator under general anesthesia. Result：The 24 cases of all were successfully decanulated 1 to 12 months after operation and could breathe freely. One case had second operation and was successfully decanulated 9 months after operation. The follow-up for 1 to 2 years showed all cases speaking well and 3 cases recurrence. Conclusion：The method for treating laryngeal stenosis using CO2 laser and self-mande laryngeal dilator is effective, fewer complication, less invasive, and faster recovery. The laryngeal dilator is made simply and conveniently.

关 键 词：喉狭窄 激光疗法 喉扩张管 

分 类 号：R454.2[医药卫生—治疗学]