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喉显微外科手术(附46例分析)

APPLICATION OF MICROLARY-NGOSCOPIC OPERATION
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摘要 本文介绍支撑喉镜与手术显微镜相结合对46例喉部病变患者进行喉显微外科手术的体会,同时介绍喉显微外科手术的适应症、禁忌症以及手术器械、手术方法等。 From October 1990 to August 1991, 46 cases of laryngeal diseases were observed and operated meticulously under integrating suspensory laryngoscope with operative microscope in our hospital.We have found that this method has the advantage of good illumination and view, thus very small lesion of the vocal cords could be found easily. The instruments, method of onaesthesia, operation procedure, as well as indications and contraindications were discussed in this paper. In the 46 patients 46 operations were done, biopsy of all lesions was performed, and the diagnoses were proved pathologically. Results of treatment were as follows, grade 1, entirely recovered, 38 cases; grade 2, improved, 3 cases, grade 3, voice being worsse, 5 cases. It is emphasized that under general anaesthesia and by using muscular relaxants, all cases had their vocal cords fixed in abduction position, which facilitates the operation, and makes the recognition of minute lesions which were invisible to the naked eyes. Tnerefore, it not only increases the diagnostic accuracy, but also makes the operation more thoroughly and causes less trauma to the patients.
作者 黄振东
机构地区 海南省人民医院
出处 《海南医学》 CAS 1992年第3期50-52,共3页 Hainan Medical Journal
关键词 喉部 显微外科手术 laryngeal diseases Laryngoscope General anaesthesia
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