支撑喉镜显微镜早期声门型喉癌切除术临床思路探究  

Clinical discussion of laryngoscope microscope resection for early glottic cancer

作　　者：李晓娜[1] 李玉杰[1] 刘莹[1] 

机构地区：[1]郑州大学附属郑州中心医院耳鼻咽喉头颈外科,450007

出　　处：《中国实用医刊》2016年第5期46-47,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨声门型喉癌早期采用支撑喉镜显微镜切除术的治疗效果。方法选取声门型喉癌20例，在早期采用支撑喉镜显微镜治疗，回顾分析其临床资料。结果本次选取的20例声门型喉癌患者手术均未行气管切开，手术完成后无出血、呼吸困难等并发症，患者术后当日即可活动，住院（8．2±0．3）d，术后行平均2年随访，无复发病例，创面新黏膜覆盖修复，无肉芽组织增生，渐上皮化，发音情况渐趋改善。结论早期声门癌采用支撑喉镜显微镜切除，手术过程中出血量较少，手术时间较短，可较好地保留喉功能，术后恢复较快，住院时间较短，为理想的治疗手段，使患者生存质量显著改善，具有较高推广应用价值。Objective To discuss the effect of early glottic with laryngeal surgery using microscope laryngoscope treatment. Methods Selected 20 cases of the glottic cancer treated with laryngoscope microscope treatment in the early adopter, and retrospectivelyp analyzed the clinical data. Results The 20 cases of supraglottic laryngeal cancer patients did not select tracheotomy surgery, there was no complications such as bleeding, dyspnea after the surgery, the patients can be active on the day after surgery, the average hospital stay was （8.2 ± 0. 3） d, average 2 year follow-up, no recurrence, new mucosal wound repair coverage, no granulation tissue, gradually epithelium, pronounciation situation gradually improved in the 20 patients. Conclusions Early glottic cancer resection using laryngoscope microscope, less blood loss during the surgery, shorter operative time, can retain laryngeal function better, postoperative recovery is faster, average length of stay is shorter, so it is the ideal treatment, can significantly improve the life quality of patients, so it has higher application value.

关 键 词：支撑喉镜显微镜 早期 声门型喉癌 切除术 

分 类 号：R767.105[医药卫生—耳鼻咽喉科]