摘要
目的探讨在支撑喉镜下喉部暴露困难时可选择的喉部微创手术方法。方法对19例支撑喉镜下不能暴露喉部无法手术的患者,改为可视麻醉喉镜下暴露喉部,利用改良设计的手术器械和彭氏电刀行手术治疗。结果 19例患者均完成了手术,效果良好,仅存在因为临时调整器械等原因致手术时间略长的缺点。结论在常规支撑喉镜下不能很好暴露喉部时,可以根据患者和医院的不同条件选择不同的替代手术方法,可视麻醉喉镜下联合彭氏电刀、改良手术器械值得临床推广。
Objective To explore the methods of minimally invasive surgery for laryngeal surgery of the glottis exposing difficulty under self-retaining laryngoscope. Methods In 19 cases,because of the different circumstances,self-retaining laryngoscope cannot expose the throats,so that the operation can not be carried out. According to the different situation of every patient,we choose the method that using the visual anesthetic laryngoscope to explore the larynx,improving the design part of surgical instruments and pengs electrotome,to performing surgical treatment. Result 19 cases were exposed to the larynx under the visual anesthetic laryngoscope,completed the operations successfully,and the effect was good. For the reason that the temporary adjustment of the instrument,operation time is too long. Conclusion In cases where the conventional self-retaining laryngoscope does not expose the larynx very well,we can according the different conditions of patients and hospitals to selecting the difficult alternative surgical methods,the methods were that the visual anesthetic laryngoscope combined with the pengs electrotome and improve the design surgical instruments were worth to be spread.
出处
《中国医学文摘(耳鼻咽喉科学)》
2017年第6期287-289,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
可视麻醉喉镜
声门暴露困难
喉部手术
彭氏电刀
Visual Anesthetic Laryngoscope
Glottis Exposing Difficulty
Laryngeal Surgery
Pengs Electrotome