喉显微黏膜微瓣技术的临床疗效观察

Observation on clinical efficacy of laryngeal microscopic mucosa membrane micro-valve technique

目的探讨全麻支撑喉镜显微镜下应用显微黏膜微瓣技术对声带良性病变进行手术治疗的临床疗效。方法将80例声带良性病变患者随机分为两组,分别采用显微黏膜微瓣技术(A组)和咬切法(B组)切除病变,于术前,术后1周、6个月进行电子喉镜检查。结果术后1周、6个月A组声带愈合明显优于B组。结论喉显微黏膜微瓣技术是治疗声带良性病变的重要手术方法,能最大限度保留声带发声功能,值得临床推广应用。

Objective To discuss the clinical curative effect of microscopic mucosa microflap technique under general anesthesia self-retaining laryngoscope for performing operation of benign vocal fold lesions.Methods 80 cases of benign vocal fold lesions were randomly divided into 2 groups,and treated with microscopic mucosa microflap technique（group A） and the biting method（group B） for lesion resection respectively.Electronic laryngoscopy was conducted before operation and in postoperative 1 week,6 months.Results The vocal fold healing in the group AE was significantly superior to the group B in postoperative 1 week,6 months.Conclusion Laryngeal microscopic mucosa microflap technique is an important operation method to treat benign vocal fold lesion and maximizes the retention of vocal cord function,which is worth spreading in clinic.