对各种喉内窥镜手术效果的对照分析

Control Study of Operations With Different Laryngoscope

通过２７３例，用不同的喉内窥镜作手术的体会和术后结果对比分析发现，以放大喉镜手术为优，是目前临床上最常用于对喉病检查、诊断、手术治疗的方法。直达喉镜手术费力、患者痛苦，但其手术成功率、镜病检符合率与放大喉镜手术相比无显著性差异（Ｐ＞０．０５），纤维喉镜手术切除声带结节较为适宜。支撑喉镜显微手术，全身麻醉危险性大，较少应用。间接喉镜手术光照暗淡，有被间接放大喉镜取代的趋势。

In this article,273 patients with different laryngeal disease were reviewed.These patients were operated on under different laryngoscopes.Our results indicate that operation under magnifying larygoscope is the best method.Operation under direct laryngoscope is difficult and patients are uncomfortable,but there is no statistic significance on successful rate and accord rate of laryngoscopic and pathological examination between direct and magnifying laryngoscopic operation( P >0.05).Laryngofibroscope is suitable for removal of vocal nodulus.Microlaryngoscopic operation can not be widely used because of its anesthesia complexity.Indirect laryngoscope is gradually replaced by magnifying laryngoscope for its faint brightness.