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鼻内窥镜联合支撑喉镜行声带息肉摘除术疗效分析
引用本文:柴向华,万彬,陈文峰.鼻内窥镜联合支撑喉镜行声带息肉摘除术疗效分析[J].中国基层医药,2009,16(7):1190-1191.
作者姓名:柴向华  万彬  陈文峰
作者单位:东莞市虎门医院耳鼻喉科,广东省东莞,523900
摘    要:目的探讨鼻内窥镜电视联合支撑喉镜行声带息肉摘除术的疗效。方法在支撑喉镜及监视摄像系统下对121例声带息肉患者(其中双侧54例,单侧67例)行声带息肉摘除并开放Reinke腔隙,将术前喉镜检查、手术及术后喉镜复查结果录像并保留。结果术后4周70°鼻内窥镜复查,116例声带及发音基本接近正常,治愈率95.9%,其余5例因声带关闭不全,声音较正常稍差。随访3~18个月无复发,无严重并发症。结论通过鼻内窥镜和电视监视摄像系统的放大,使病灶可以彻底切除。

关 键 词:喉镜外科手术  鼻内窥镜  声带  息肉

Analysis of the nasal endoscope Television Co-line self-retalning laryngoscope vocal polyps surgery treatment
CHAI Xiang-hua,WAN Bin,CHEN Wen-feng.Analysis of the nasal endoscope Television Co-line self-retalning laryngoscope vocal polyps surgery treatment[J].Chinese Journal of Primary Medicine and Pharmacy,2009,16(7):1190-1191.
Authors:CHAI Xiang-hua  WAN Bin  CHEN Wen-feng
Institution:( Department of Otolaryngology,ttumen Hospital of Dongguan,Dongguan , Guangdong 523900, China )
Abstract:Objective To investigate the nasal endoscope Television Co-line self-retaining laryngoscope vo-cal polyps surgery treatment. Methods 121 cases diagnosed of vocal cord polyp (of which 54 cases of bilateral, u-nilateral 67 cases), in the serf-retaining laryngoscope and surveillance camera system of vocal cord polyp removed and opened Lacunar Reinke and will preoperative laryngoscopy and laryngoscopy after surgery and review the results of the video and retain. Results 4 weeks to review 70° nasal endoscope, and 116 cases of vocal sounds close to nor-mal, the cure rate reached 95.9 percent, and the remaining five cases because of vocal hypertrophy or incomplete closure of the vocal cords, sounds worse than normal shoots. Follow-up 3~18 months without recurrence, no serious complications. Conclusion The nasal endoscope and television surveillance camera system of amplification, in par-ticular, Reinke Lacunar throat image more clearly, so that lesions can be completely removed, and the vocal cords can be a very good organization had to protect, and by retaining the video can be pre-operative, during and after vo-cal dynamic comparative situation.
Keywords:Laryngoscopic surgical procedures  Endoscope  Vocal corda  Polyps
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