[1]曾旭东,何源萍,张清元,等.微型内镜在喉、气管、支气管疾病微创治疗中的应用[J].中国微创外科杂志,2006,06(4):304-305.
　Zeng Xudong,He Yuangping,Zhang Qingyuan,et al.Application ofm icroendoscope in m inimally invasive treatm ent of laryngea,l trachea,l and bronchial diseases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(4):304-305.
点击复制

微型内镜在喉、气管、支气管疾病微创治疗中的应用()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年4期
页码:
304-305
栏目:
出版日期:
2006-04-20

文章信息/Info

Title:
Application ofm icroendoscope in m inimally invasive treatm ent of laryngea,l trachea,l and bronchial diseases
作者:
曾旭东; 何源萍; 张清元; 严福波; 尹文华
湖北省孝感市中心医院耳鼻咽喉科,孝感,432100
Author(s):
Zeng Xudong; He Yuangping;  Zhang Qingyuan;  et al.
Department of Otolaryngology, Xiaogan Central Hospital, Xiaogan 432100, China
关键词:
微型内镜; 喉; 气管; 支气管; 疾病
Keywords:
Microendoscope; 　Larynx; 　Trachea; 　Bronchus; 　Disease
分类号:
R767.91
文献标志码:
A
摘要:
目的探讨微型内镜手术治疗喉、气管、支气管疾病的临床应用价值.方法在微型内镜下进行喉部手术及气管、支气管异物取出术166例.其中声带小结19例,声带息肉75例,声带乳头状瘤16例,声带囊肿6例,会厌囊肿9例,喉部血管瘤5例,喉部淀粉样瘤19例,声带角化症3例,声带白斑2例,声带癌6例,气管、支气管异物6例.结果气管、支气管异物6例取出成功.另160例中除3例喉部血管瘤术中出血较多,使用微波处理止血外,余157例手术经过顺利.手术时间30～60 min,平均45 min.喉部手术经过顺利,无术后并发症.随访2～12个月,平均6个月,发音恢复正常148例,好转12例.6例声带癌术后随访1年无复发.结论微型内镜应用在喉、气管、支气管疾病中具有手术视野广、直接、清晰、照明度高等优点,使手术在微创的前提下彻底清除病灶并最大限度保留功能.
Abstract:
Objective　To investigate the clinical application value ofmicroendoscope in the treatmentof laryngea,l trachea,l and bronchial diseases.　M ethods　Undermicroendoscope, laryngological operations or tracheal or bronchial foreign body removal were carried out in 166 cases, including 19 cases of vocal nodule, 75 cases of polyp of the vocal cord, 16 cases of papilloma of the vocal cord, 6 cases of cyst of the vocal cord, 9 cases of cyst of the epiglottis, 5 cases of laryngealhemangioma, 19 cases of laryngeal amyloidosis, 3 cases ofkeratosis of the vocal cord, 2 cases of leukoplakia of the vocal cord, 6 cases of glottic cancer, and 6 cases of tracheal or bronchial foreign body.　Results　Foreign bodies in the trachea or the bronchus were removed successfully in all the 6 cases. Of the rest of160 cases, laryngological operationswere accomplished smoothly in 157 caseswhile a relatively large amount of hemorrhage was encountered in 3 cases and treatedwithmicrowave hemostasis. The operation timewas 30~60 min (mean, 45 min). No postoperative complications occurred. Follow-up observations for 2 ~12 months (mean, 6 months) showed 148 cases of full recovery of vocal function and 12 cases of improvement. No recurrence was found in the 6 cases of glottic cancer during 1 year of follow-up.　Conclusions　The application ofmicroendoscope in the treatment of laryngea,l trachea,l and bronchial diseases has advantages ofbroad surgicalview and directand clearvisualization. Thisminimally invasive procedure can remove the lesion thoroughly and reserve functions to the greatest advantages.

参考文献/References:

[1]汪磊.微创外科技术在耳鼻咽喉头颈外科的应用.中华耳鼻咽喉科杂志,2000,35(6):408-409.
[2]张小伯,刘丹丹,杨大章,等.早期喉癌与声带癌前病变的诊断和微创治疗.中华耳鼻咽喉科杂志,1999,34(6):337-339.
[3]王斌全,夏立军,石秋英,等.早期声门癌显微手术治疗的临床观察.中华耳鼻咽喉科杂志,2000,35(5):378-380.
[4]徐振明,孙兴和.小儿喉良性疾病的显微外科治疗.中华耳鼻咽喉科杂志,2000,35(5):396-396.

更新日期/Last Update: 2014-01-27