全麻支撑喉镜下声带息肉摘除术71例分析

Analysis of 71 Patients Undergoing Removal of Polyp of Vocal Cord under General Anesthesia and Self-retaining Laryngoscope

目的：探讨声带息肉摘除的最佳方式及如何利用手术技巧降低并发症等。方法：71例患者全部采用气管插管全麻支撑喉镜下手术切除。结果：术后第1天发音正常者57例（80.3％），术后2～3天发音正常者13例（18．3％）。结论：采用气管插管术全麻支撑喉镜下声带息肉切除，优于局麻间接喉镜下声带息肉切除，可减轻病人痛苦，充分暴露声带，从而使手术精确、彻底，减少术后并发症．达到好的治疗效果。

Objective To investigate optimum method of removal of polyp of vocal cord, and to reduce postoperative complications using operation techniques. Methods Undertracheal intubation general anesthesia and self - retaining laryngoscope, the removal of polyp of vocal cord was performed in all the 71 patients. Results Of 71 cases, orthophoney was found in 53 (80. 3 % ) the first day after the operation, and in 13 (18. 3%)2～3 days after the operation. Conclusion The removal discussed above is better than the removal per- formed under local anethesia and indirect laryngoscope. It may relieve the patients of their pain, Full explo- sure of vocal cord in the former operation may lead to accurate and thorough operation and less postoperative complications.