全麻显微支撑喉镜手术的麻醉方法改进(附31例报告)

Improvement of the general aneathesia method for microlaryngoscopic surgery with self-retaining laryngoscope:A study on 31 cases

目的 :探讨全麻中以塑料喷射管法控制呼吸在显微支撑喉镜手术的应用效果。方法 :对 31例喉部病变患者以塑料管喷射法控制呼吸 ,在全麻支撑喉镜下显微外科手术切除喉部病灶。结果 :31例均完整切除喉部病灶顺利完成手术。标本均经组织学检查 ,30例为良性病变 ,1例声带鳞癌 ;术中相关指标无改变。术后随访6～ 38个月 ,2例失访 ,声音恢复良好 ,无复发。结论 :全麻中使用塑料喷射管法控制呼吸 ,可以保证支撑喉镜下喉显微外科手术的顺利进行。该法操作简单 ,安全方便 ,无并发症发生。

Objective:To investigate the improvement of general aneathesia method for microlaryngoscopic surgery with self retaining laryngoscope. Method:31 cases with laryngeal lesion who had undergone the microlaryngoscopic operation with self retaining by aneathesia were reviewed retrospectively from Octomber 1, 1997 to Dscember 31, 2000. Result:All patients undgone the microlaryngoscopic surgery and their specimes were examined by pathology.30 cases were benign lesion, 1 case was squamous ceel cancer of the vocal cord.Their voice recovers very satisfactorily except for 2 patients.There were no recurrence after 6～38 months follow up . Conclusion:This study suggests that the general aneathesia with plastic jet ventilating tube controlling respiratory for microlaryngoscopic surgery is easier,more effective and safer than the other methods.