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喉CO_2激光手术后声带粘连原因分析
引用本文:蔡红武,唐安洲,徐志文,苏纪平,周永,农东晓.喉CO_2激光手术后声带粘连原因分析[J].临床耳鼻咽喉头颈外科杂志,2010,24(4).
作者姓名:蔡红武  唐安洲  徐志文  苏纪平  周永  农东晓
作者单位:广西医科大学第一附属医院耳鼻咽喉-头颈外科,南宁,530021
摘    要:目的:分析CO2激光手术治疗喉部疾病引起声带粘连的原因。方法:回顾性分析显微支撑喉镜下行喉部激光手术119例的临床资料。结果:119例患者中,双侧声带外展麻痹9例,声带息肉42例,喉癌前病变3例激光手术后均未引起声带粘连;喉狭窄5例中有1例,喉乳头状瘤41例中有5例,喉癌19例中有6例激光手术后出现声带粘连。结论:CO2激光手术通过选择合适的患者及手术部位,完善术中术后的处理,采用适宜的激光照射剂量,减少热辐射,可减少或避免显微喉镜激光手术引起的声带粘连。

关 键 词:CO2激光  声带粘连  

Analysis of the reason for the adhesion of vocal cord after CO_2 Laser laryngeal surgery
CAI Hongwu,TANG Anzhou,XU Zhiwen,SU Jiping,ZHOU Yong,NONG Dongxiao.Analysis of the reason for the adhesion of vocal cord after CO_2 Laser laryngeal surgery[J].Journal of Clinical Otorhinolaryngology,2010,24(4).
Authors:CAI Hongwu  TANG Anzhou  XU Zhiwen  SU Jiping  ZHOU Yong  NONG Dongxiao
Institution:Department of Otolaryngology-Head and Neck Surgery/a>;the First Affiliated Hospital of Guangxi Medical University/a>;Nanning/a>;530021/a>;China
Abstract:Objective:To investigate the reason for the adhesion of vocal cord after CO2 Laser laryngeal surgery.Method:One hundred and nineteen patients who were untaken CO2 Laser laryngeal microsurgery.Result:Among 119 cases,9 cases of bilateral vocal cord paralysis,42 cases of vocal cord polyps and 3 cases of precancerous laryngeal lesions did not show vocal cord adhesion after CO2 Laser laryngeal microsurgery.Contrarily,one of 5 cases with laryngeal stenosis,5 of 41 cases with laryngeal papilloma and 6 of 19 cases ...
Keywords:CO2 Laser  vocal cord adhesion  
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