全麻显微支撑喉镜下声带手术135例疗效分析

目的:观察全麻显微支撑喉镜下声带息肉、小结、白斑、囊肿摘除术后的临床疗效。方法:回顾性分析我院135例相关患者的临床资料,术前均行纤维喉镜检查,术后常规病理分析,随访0.5~7.0年。结果:121例患者声带息肉中118例术后2周发音恢复正常,3例因手术创面较大发音恢复稍差。声带小结、白斑、囊肿患者随访半年以上无复发,总治愈率97.78%。结论:全麻显微支撑喉镜下手术对声带局限性病变切除彻底,复发率低。

Curative effect of cocal cord surgical treatment with a suspension micro-laryngoscope under general anesthesia:a report of 135 cases

Objective: To investigate the clinical curative efficacy of micro-laryngoscopic surgery on polyps,nodules,leukoplakia and cysts of the vocal cords with a suspension micro-laryngoscope under general anesthesia.Methods: The clinical data of 135 cases from 1999 to 2001 in our hospital were reviewed and analyzed.All received laryngoscopic examination before the surgery and regular pathologic determination after the surgery.All cases were followed up for half a year to 7 years.Results: Among 121 cases of vocal cord polyps,118 cases recovered pronunciation within 2 weeks and 3 cases recovered less well due to a large trauma.No nodules,leukoplakia and cysts of the vocal cords relapsed within half a year in the following up.The success rate was 97.78%.Conclusion: Surgery for localized pathological changes with a suspension laryngoscope under general anesthesia is a safe and reliable treatment with a low rate of relapse.