经支撑喉镜下杓状软骨拨动术治疗环杓关节脱位的临床效果  

Clinical effect of arytenoid cartilage reposition with a suspension laryngoscope in treatment of cri-coarytenoid joint dislocation

作　　者：刘敬 邓蔚 杨长亮 李皓谆 伍行 LIU Jing;DENG Wei;YANG Changliang;LI Haozhun;WU Xing(Department of Otolaryngology Head and Neck Surgery,Central Theater Command General Hospital of the Chinese People’s Liberation Army,Wuhan 430010,China)

机构地区：[1]中国人民解放军中部战区总医院耳鼻咽喉头颈外科,湖北武汉430010 [2]浙江中医药大学口腔医学院

出　　处：《精准医学杂志》2024年第5期397-399,403,共4页Journal of Precision Medicine

摘　　要：目的探讨插管全麻支撑喉镜下杓状软骨拨动术治疗环杓关节脱位的临床效果。方法选择2012年12月—2020年12月我科收治环杓关节脱位患者10例,均经全麻支撑喉镜下行杓状软骨拨动术进行治疗,对其病因、手术时机及疗效进行分析。结果10例患者中8例一次性复位成功,1例复位两次后好转,1例复位无效。结论经支撑喉镜下杓状软骨拨动术是治疗环杓关节脱位的有效方法,且治疗越早,治疗效果越好。Objective To investigate the clinical effect of arytenoid cartilage reposition with a suspension laryngoscope under general anesthesia in the treatment of cricoarytenoid joint dislocation.Methods Ten patients with cricoarytenoid joint dislocation who were admitted to our department from December 2012 to December 2020 were enrolled and underwent arytenoid cartilage reposition with a suspension laryngoscope under general anesthesia,and the patients were analyzed in terms of etiology,surgical timing,and treatment outcome.Results Among the ten patients,eight achieved successful reposition in a single attempt,one improved after two attempts,and one showed no response.Conclusion Arytenoid cartilage reposition with a suspension laryngoscope is an effective method for the treatment of cricoarytenoid joint dislocation,and the earlier the treatment,the better the treatment outcome.

关 键 词：关节脱位 杓状软骨 喉镜检查 诊断 鉴别 手术方法 治疗结果 经验学习 

分 类 号：R767.21[医药卫生—耳鼻咽喉科]