等离子射频辅助双侧声带后端切断术治疗双侧声带麻痹导致的上气道梗阻患者13例  

Plasma radiofrequency assisted bilateral posterior partial transverse cordotomy in the treatment of 13 patients with upper airway obstruction caused by bilateral vocal cord paralysis

作　　者：赵晶 李进让 郭红光 ZHAO Jing;LI Jinrang;GUO Hongguang(Department of Otorhinolaryngology,The Sixth Medical center of Chinese PLA General Hospital/College of Otorhinolaryngology&Head and Neck Surgery,Chinese PLA General Hospital/National Clinical Research Center for Otolaryngologic Diseases,Beijing 100048,China)

机构地区：[1]中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科/中国人民解放军总医院耳鼻咽喉头颈外科医学部国家耳鼻咽喉疾病临床医学研究中心,北京100048

出　　处：《山东大学耳鼻喉眼学报》2021年第2期39-42,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的评估内镜下等离子射频辅助双侧声带后端切断术治疗双侧声带麻痹导致上气道梗阻患者的疗效。方法回顾性分析13例双侧声带麻痹导致的上气道梗阻患者的病例资料,其中男6例、女7例,27~73岁,所有患者均接受等离子射频辅助双侧声带后端切断术。总结评估该手术的临床疗效。结果 13例随访时间1年1个月~2年11个月,所有患者无严重并发症发生。一次拔管率为84.44%(10/13),二次手术拔管率为88.89%(11/13),拔管时间1~3个月,中位数1个月,上气道梗阻均未复发。结论内镜下等离子射频辅助双侧声带切断术操作简单、手术风险小,同时治疗双侧声带麻痹效果可靠,是双侧声带麻痹导致上气道梗阻的有效治疗方法之一,也可作为其他治疗失败的补救治疗措施。Objective To evaluate the efficacy of the endoscopic plasma radiofrequency assisted bilateral posterior partial transverse cordotomy in patients with upper airway obstruction due to bilateral vocal cord paralysis. Methods Clinical data of 13 patients with upper airway obstruction caused by bilateral vocal cord paralysis was retrospectively analyzed, including 6 males and 7 females, aged 27-73 years. All patients underwent endoscopic plasma radiofrequency assisted bilateral posterior partial transverse cordotomy, to summarize and evaluate clinical effect of this operation. Results The follow-up period was from 1 year 1 month to 2 years 11 months, and no serious complications occurred in all the patients. A one-step successful decannulation was achieved in 84.44%(10/13), a two-step successful decannulation was achieved in 88.89%(11/13). Decannulation time was1-3 months, and the median decannulation time was 1 month.There was no recurrence of upper airway obstruction. Conclusion Endoscopic bilateral posterior partial transverse cordotomy can establish a reliable and effective airway and maximize the retention of swallowing and voice functions. At the same time, it is a safe, reliable, simple and minimally invasive treatment option.

关 键 词：双侧声带麻痹 双侧声带后端切断术 等离子射频 拔管率 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]