不同手术方式治疗声带良性病变探讨
中图分类号:R767.4文献标识码: A文章编号: 1814-8824(2008)-8-0016-02
摘要:目的 通过对声带良性病变采用纤维鼻咽喉镜及支撑喉镜显微镜两种不同手术方式的比较,探讨理想的手术方法。方法 对98例声带良性病变,其中声带息肉60例,声带小结20例,声带囊肿10例,喉乳头状瘤8例,患者分别采用支撑喉镜显微镜法58例,纤维鼻咽喉镜法40例。结果 两种手术方式临床治愈率比较,差异有统计学意义。结论 对不能耐受全麻者,可采用纤维鼻咽喉镜手术,支撑喉镜显微镜下手术因符合微创原则,减少声带损伤,达到最佳手术效果,我们认为是一种理想的手术方式。
关键词 不同手术方式 声带良性病变 治疗
Different Surgical Treatment of Benign Vocal Cord.Zhang Li.The Fifth People's Hospital, Sichuan Deyang 618000.
【Abstract】Objective Through the use of fiber vocal benign lesions and nasopharyngeal laryngoscope Suspension microscope two different modes of operation, on the ideal method. Method 98 cases of benign lesions announcements, 60 cases of vocal polyps, nodules in 20 cases, 10 cases of vocal cord cyst, laryngeal papilloma eight cases, patients were used Suspension microscope of 58 cases, 40 cases of fiberoptic laryngoscope.Results Two kind of surgery way clinical cure rate comparison, the difference has statistics significance. Conclusion To the ability the general anesthesia, cannot use the textile fiber nasopharynx laryngoscope surgery, because supports under the laryngoscope microscope the surgery to tally micro creates the principle, reduces the vocal cord damage, achieves the best surgery effect, we thought that is one ideal surgery way. ......
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