表面麻醉支撑喉镜喉显微手术治疗声带良性病变

Microlaryngoscopic surgery in the treatment of vocal cord benign lesion under surface anesthesia

目的:探讨喉显微手术治疗声带良性病变的效果及麻醉选择。方法:手术在1%丁卡因表面麻醉支撑喉镜下进行,采用普通手术显微镜连接300mm焦距镜头观察病变。结果:872例中声带息肉353例,声带小结438例,声带囊肿81例,851例完成手术,697例1次治愈,总有效率为96.9%。结论:青、壮年患者,无明显心血管疾病,可选择表面麻醉手术,表面麻醉并发症少,恢复快,支撑喉镜下显微手术清除病变彻底。

Objective:To evaluate the effect of microlaryngoscopic surgery in the treatment of vocal cord benign lesion.Method:The operation was performed using suspension laryngoscope and common operative microscope under surface anesthesia with 1% pontocaine.Result:In the 872 patients,438 cases had vocal nodules,353 were vocal polyps and other vocal cord cysts. In 208 patients underwent successful operation, 171 cases were cured clinically and 36 cases improved after the first attempt with a general effective rate of 96.3%.Conclusion:The most patients who had vocal cord benign lesions without severe cardiovascular diseases could be operated under surface anesthesia which have the advantages of rare complications and rapid recovery.