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喉显微手术治疗任克氏水肿48例临床观察
引用本文:谢朝峰,郑则钦,纪钦泉,胡钦擎,王学林,陈影芳. 喉显微手术治疗任克氏水肿48例临床观察[J]. 中国临床实用医学, 2008, 2(11): 21-22
作者姓名:谢朝峰  郑则钦  纪钦泉  胡钦擎  王学林  陈影芳
作者单位:1. 汕头市第二人民医院耳鼻咽喉科,515041
2. 汕头市第二人民医院病理科,515041
3. 汕头市第二人民医院麻醉科,515041
基金项目:广东省汕头市科技攻关项目 
摘    要:目的探索一种实用、简便、能较精确切除任克氏水肿及多余黏膜的嗓音显微外科手术方式。方法对48例任克氏水肿患者在插管复合静脉麻醉下,施行支撑喉镜显微镜下嗓音显微外科手术治疗;术后给予禁声、口服头孢克洛和强的松、雾化及咽音训练等综合治疗。结果治愈34例,显效10例,有效4例,术后未见复发,效果满意。结论嗓音显微外科手术能较精确切除病变并且最大限度恢复发声功能,是治疗任克氏水肿的重要手术方式。

关 键 词:支撑喉镜  显微镜  任克氏水肿  嗓音显微外科手术

Clinical observation on 48 cases of the treatment of Reinke''s edema by Laryngomicrosurgery
Affiliation:XIE Chao-feng , ZHENG Ze-qin, Jl Qin-quan , et al. (Shantou Second People' s Hospital, E. N. T Departmentl, Guangdong , 515041, China)
Abstract:Objective To explore a practical,convenient and precise phonomicrosurgery modus operandi which could exactly cut Reinke's edema and superfluous mucosa.Methods 48 Reinke's edema patients were performed microsurgery with self-retaining laryngoscope by trachea intubation along with venery aneatheia.Then they were given combined therapy which were voice rest,take cefaclor and predisone,atomization,pharyngeal voice exercise and so on.Results There were 34 cure patients.10 show effect patients,40 effective patients.It was most suitable for the treatment of non-recurrence.Conclusion Phonomicrosurgery could exactly cut Reinke's edema and could repair the vocal function utmost.it is the most important modus operandi which cure Reinke's edema.
Keywords:Self-retaining laryngoscope  Microscope  Reinke's edema  Phonomicrosurgery
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