支撑喉镜下超声刀切除会厌囊肿的临床体会

目的探讨支撑喉镜下超声刀切除会厌囊肿的麻醉方法、手术效果，总结经验及体会。方法回顾性分析2013年1月～2015年1月诊治的42例会厌囊肿患者的临床资料，所有患者均全身麻醉下采用超声刀切除会厌囊肿，术后随访1年，行电子喉镜检查进行疗效评价。结果41例患者均达到治愈，1例出现会厌萎缩。结论超声刀切除会厌囊肿出血少，视野清晰，手术时间短，但术中操作应仔细，避免大面积热损伤而出现术后患者疼痛、会厌萎缩的可能。

Experience and comprehension on removal of epiglottic cyst with ultrasonic harmonic scalpel through self retaining laryngoscope

Abstract:ObjectiveTo investigate the anesthesia, surgical effect of epiglottic cyst removal with ultrasonic harmonic scalpel through self retaining laryngoscope, and summary our experience and comprehension.MethodsClinical data of 42 patients suffering from epiglottic cyst and treated in our department between Jan 2013 and Jan 2015 were analyzed retrospectively. Removal of epiglottic cyst was performed in all the patients by ultrasonic harmonic scalpel under general anesthesia. All the patients had been followed up for one year postoperatively, and the therapeutic effect was evaluated by video laryngoscope.Results41 patients were cured, and epigottis atrophy occurred in one.ConclusionRemoval of epiglottis cyst with ultrasonic harmonic scalpel has advantages of less intraoperative bleeding, clear operation field and short operation time. To avoid postoperative violent pain and epigottis atrophy resulted from extensive thermal injury, surgical procedure should be performed carefully.