内镜辅助的弧形喉镜在声门暴露困难患者喉显微手术中的应用

Application of endoscope assisted curved laryngoscope in laryngeal microsurgery of patients with difficulty laryngeal exposure

目的:探讨内镜辅助的弧形喉镜在声门暴露困难患者喉显微手术中应用的可行性及临床价值。方法:28例声门暴露困难患者均采用内镜辅助弧形喉镜下声带病变切除术。结果:28例患者均一次性完成手术,声门完全显露率为100%。术后随访2~18个月,均未出现病变残留或复发,无明显并发症发生。结论:内镜辅助的弧形喉镜技术可有效解决声门暴露困难问题,具有声门显露充分、视野清晰和并发症少等优势,具有临床推广价值。

Objective：To investigate the feasibility and clinical value of endoscope assisted curved laryngoscopy in laryngeal microsurgery of patients with difficulty laryngeal exposure.Method：The data of 28 patients with difficulty laryngeal exposure underwent microlaryngosurgery with endoscope assisted curved laryngoscopy technique were collected.Result：Surgeries with endoscope assisted curved laryngoscopy technique were completed successfully one-time in all patients.The fully exposure of glottis was 100%.All cases were followed up for 2 to 18 months.No residual disease or recurrence occurred and no obvious complication occurred.Conclusion：Endoscope assisted curved laryngoscopy technique is a useful solution to difficulty laryngeal exposure.It has satisfactory glottis exposure,clear surgical field and fewer complications which is worthy of promotion.