电子喉镜下喉异物钳治疗环杓关节脱位临床疗效分析

目的探讨经电子喉镜下喉异物钳治疗环杓关节脱位的疗效及复位技巧。方法 8例因上消化道电子内镜检查、鼻饲管、全麻下气管插管、颈部外伤等所致环杓关节脱位患者,在电子喉镜下喉异物钳进行环杓关节复位术。结果 7例1次、1例2次手术复位成功,术后随访6～24个月,声音恢复正常。结论电子喉镜下喉异物钳进行环杓关节复位方法简单、准确、安全、快速,手术成功率高,在临床上具有一定应用价值。

Clinical effect of reposition of cricoarytenoid joint dislocation through foreign body forceps under electronic laryngoscope

Objective To explore the operative efficacy and skills of repositing cricoarytenoid joint dislocation through foreign body forceps under electronic laryngoscope.Methods 8 cases of cricoarytenoid joint dislocation caused by gastrointestinal endoscopy,nasogastric tube,tracheal intubation and neck trauma were included in this study.All cases were treated by foreign body forceps under electronic laryngoscope with local anaesthesia.Results Seven cases were reposited successfully with one time and one case with two times,and their voice were back to normal with a following-up of 6 to 24 months after operation.There were no complications during or after surgery.Conclusion The treatment of cricoarytenoid joint dislocation with foreign body forceps under electronic laryngoscope is simple,safe,and have high success rate,and it may be useful for patients with cricoarytenoid joint dislocation.