摘要
目的探讨支撑喉镜联合鼻内镜治疗声带息肉的临床效果及并发症的防治。方法收集2012年6月至2014年1月,在全麻下应用支撑喉镜联合鼻内镜,于电视监视器下手术切除声带息肉124例,对其手术效果及并发症进行分析。结果术后随访3~6月,治愈120例（96.8%）,好转4例（3.2%）,无无效病例。并发症的发生与术者经验、患者体质及手术时间长短相关。结论支撑喉镜联合鼻内镜手术切除声带息肉,操作简单、安全,临床效果良好,容易开展。并发症以咽部黏膜擦伤10例（8.1%）多发,牙齿损伤3例（2.4%）,咽部出血2例（1.6%）。选择合适病例,提高手术操作技巧,改进手术器械,可提高手术效果、避免和减少并发症的发生。
Objective To investigate the clinical curative effect of vocal cord polyp resected by laryngoscope combined with nasal endoscopic and the prevention of complications. Methods From June 2012 to January 2014,124 cases of vocal cord polyp which were resected under general anesthesia by laryngoscope combined with endoscopic under the television monitors were chosen to analyze the surgery effects and its complications. Results After a follow-up of 3 to 6 months,120 cases were cured（ 96. 8%）,improved in 4 cases（ 3. 2%）. The complications were associated with the experience of performer,the patient＇s physical and the length of surgery time. Conclusions The resection of vocal cord polyp by laryngoscope combined with endoscopic is simple and safe,which has good clinical effect and is easy to be carried. The complications include abrasions to the pharyngeal mucosa,teeth injury and pharyngeal bleeding. Selecting the appropriate cases,improving operative techniques and improving surgical instruments can improve surgical results,avoid and reduce the complications.
出处
《齐齐哈尔医学院学报》
2015年第1期49-50,共2页
Journal of Qiqihar Medical University
关键词
声带息肉
支撑喉镜
鼻内镜
外科手术
并发症
Vocal cord polyp
Laryngoscope
Nasal endoscopic
Surgery
Complications
