支撑喉镜下声带白斑显微手术39例

Analysis of 39 cases of microlaryngoscopic surgery for vocal cord leukoplakia

目的探讨在支撑喉镜下显微手术治疗声带白斑的效果。方法采用气管内插带气囊导管复合全麻,将带光源支撑喉镜沿麻醉导管自口腔缓慢插入,经咽腔到达喉。充分暴露声门后固定,调节显微镜至恰当倍数,镜下清除病变。结果术后随访1~10年,治愈及症状好转患者有效率为92.3%。结论支撑喉镜下显微镜手术治疗声带白斑疗效良好。

Objective To explore the effectiveness of microlaryngoscopic surgery for vocal cord leukoplakia.Methods Using endotracheal intubation combined with general anesthesia,the laryngoscope intubation with light source along the anesthesia catheter was slouly introdnced into the oral.Go through pharynx and larynx finally.The catheter was fikod after the glottis zone was totally exposed,the microscope zoom was adjusted to suitable times and the ared was carefully observed under the microscope to eliminate lesions.Results All patients were followed-up from 1 to 10 years.The cure rate was 92.3%.Conclusion Microlaryngoscopic surgery for vocal cord leukoplakia has a good therapeutic effect.