内镜辅助下改良环甲膜入路在支撑喉镜暴露困难喉手术中的应用  

Endoscopic-assisted modified cricothyroid membrane approach for laryngeal surgery in patients with difficult airways

作　　者：余建军 刘业海[1] YU Jianjun;LIU Yehai(Department of Otorhinolaryngology Head and Neck Surgery,First Affiliated Hospital of Anhui Medical University,Hefei,230022,China)

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉头颈外科,合肥230022

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第1期49-51,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨内镜辅助下改良环甲膜入路在支撑喉镜暴露困难喉手术中的应用价值,并对其安全性进行评估。方法:对2017年5月—2019年10月住院的所有喉部手术患者进行评估,常规手术入路不能暴露的困难气道患者,经充分沟通后,行内镜辅助下改良环甲膜入路喉手术。结果:12例患者均顺利完成手术,术中视野暴露满意,术后无一例出现出血及声门、声门下狭窄,声音恢复满意。结论:环甲膜入路不作为喉部手术的常规选择,但对于常规入路暴露困难的困难气道患者,明显优于其他手术方式,对于常规手术入路不能暴露的患者是一种良好的选择,值得临床推广。Objective: To explore the value of endoscopic-assisted modified cricothyroid membrane approach laryngeal surgery in patients with difficult airways and evaluate its safety. Methods: All patients with laryngeal surgery who were hospitalized were evaluated. For the patients with difficult airways those could not be exposed through routine surgical approach, after full communication, we carried out the endoscope-assisted modified loop thyroscopic approach to the thyroid membrane. Results: All the 12 patients completed the operation successfully, and the visual field exposure was satisfactory during the operation. None of the patients had bleeding and glottic and subglottic stenosis after the operation, and the sound recovered satisfactorily. Conclusion: The cricothyroid membrane approach is not a routine choice for laryngeal surgery, but it is significantly better than other surgical methods for patients with difficult airways who are difficult to expose by conventional approaches, and it is a good choice for patients who cannot be exposed by conventional surgical approaches. The choice is worthy of clinical promotion.

关 键 词：环甲膜切开 内镜 喉镜 声门 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]