摘要
目的:探讨CO2激光手术治疗158例喉良性病变的不同手术方式及其疗效。方法:全麻插管支撑喉镜下,对68例声带息肉、31例声带小节、一侧声带息肉、对侧声带小结7例,任克氏水肿21例,声带囊肿18例,声带白斑9例,声带肉芽肿6例,在喉显微手术辅助下,全部行CO2激光手术。术后随访l～3个月,行喉镜检查结合患者主观感觉进行疗效评价。结果:根据电子喉镜检查结果和声嘶改善情况进行评判,治愈率为89.24%(141/158),有效率为97.47%(154/158),无效2.53%(4/158),4例复发患者3例为声带任克氏水肿复发,1例为声带肉芽肿复发。结论:CO2激光喉显微手术治疗声带良性病变效果可靠,复发率低,并发症少,是治疗喉良性疾病的有效方法。
Objective： To investigate the different surgical methods and their efficacy of C02 laser laryngeal micro- surgery surgical treatment of laryngeal benign lesions. Methods： suspension laryngoscopy under anesthesia intubation, 7 cases of 68 cases of vocal cord polyps, 31 cases of vocal cord sections, the side of the vocal cord polyp, contralateral vocal nodules, Ren Keshi edema and 21 cases of vocal cord cyst in 18 cases of vocal cord leukoplakia in nine cases vocal cord granuloma six cases, all the line of C02 laser surgery in laryngeal microsurgery assisted. The patients were followed up in March, laryngoscopy and subjective feelings of the patients for efficacy evaluation.Results： According to the electronic laryngoscopy results and hoarseness to improve the situation to judge, the cure rate of 89.24% （141/158 ）, the effective rate of 97.47% （ 154/158 ）, invalid 2.53% （4/158 currence of the vocal cords Ren Keshi edema , and one cases laser laryngeal microsurgery proves reliable in the treatment of rate, fewer complications. It is an effective means of treatment of ）, four cases of recurrence patients three cases of re- of vocal cord granuloma recurrence.Conclusion： C02 vocal cord benign lesions, which has low recurrence laryngeal benign.
出处
《安徽卫生职业技术学院学报》
2012年第6期12-13,共2页
Journal of Anhui Health Vocational & Technical College
