喉内窥镜手术治疗声带病变的临床研究

目的：探讨喉内窥镜手术治疗声带病变的效果。方法：对120例声带病变患者采用无插管全麻支撑喉镜下喉内镜手术治疗，并对其临床资料进行分析。结果：120例近期（1个月内）疗效为：治愈82例，占68．3％，好转32例，占26．7％；无效6例，占5％。远期（1年以）疗效为：治愈９５％例，占７９．２％；好转１６例，占１３．３％，无效９例，占７．５％。结论：无插管全麻支撑喉镜下喉内窥镜治疗声带病变，其中对声带息肉、声带小结效果较好；对喉Ｒeinke's水肿及声带囊肿也有一定的效果；对喉癌及喉乳头状瘤采用内窥镜进行病变范围的观察及活检术是有价值的，但所进行微波组织凝固术治疗喉癌或乳头状瘤只是一种试尝、其疗效尚需进一步观察。

CLINCAL RESEARCH ON TREATMENT OF VOCAL CORD LESION WITH LARYNGENDOSCOTIC SURGERY

Objective:To investigate the treatment efficient of vocal cord lesion with laryngendoscpic surgery.Methods:120 cases of vocal cord lesion were treated with laryngendoscpic surgery.The clinical data was analysised.Results:120 patients were operated after a month,82 cases (68.3%) were cured,32 cases (26.7%) improved,6 cases (5%) unimproved.These cases were followed up over a year.Results showed the 95 cases (72.9%) were cured,16 cases (13.3%) improved,9 cases (7.5%) unimproved.Conclusions:The approch to treatment of vocal cord lesion with laryngendoscopic under general anesthesia encheinesisless had a significant effect on treating vocal cord polypus and vocal nodules,and had fixed efficient on laryngeal Reinke's Oedem and vocal cysts as well.The authors believed that the limits of disease observation and same as have clinical value with laryngendscopic for cancer of the larynx and papilloma of the larynx.Microwaves tissue coagulation has tried out on treating cancer of the larynx and papilloma of the larynx.It's efficient need be observated at the same.