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目的 :探讨支撑喉内镜系统手术治疗咽喉部疾病的临床应用价值 ,进一步改进咽喉部微创手术方式。方法 :全麻下采用支撑喉内镜系统微创手术治疗 34例咽喉疾病患者 ,术中微波等处理残灶及出血区 ;恶性肿瘤术后行 4 0Gy放疗。结果 :本组 34例患者均一次手术成功 ,随访 1～16个月 ,未见严重手术并发症 ;术前已发生声嘶的 2 6例良性病变者术后 1个月内发声恢复正常 ;2例早期声带癌术中保留喉结构和功能 ,随诊 6～ 12个月未见肿瘤复发 ,声嘶明显好转。 结论 :支撑喉内镜微创手术治疗咽喉部良性病变、早期声带癌及癌前期病变具有重要价值 ,该项技术具有视野大、清晰度高、照明度好、切除病变彻底、保留结构功能好等优点 ,值得临床推广应用。
Objective: To explore the clinical value of thoracic and laryngeal diseases supported by thoracoscopic endoscopic surgery and to further improve the minimally invasive throat surgery. Methods: Thirty-four throat diseases were treated with minimally invasive endoscopic thoracoscopic surgery under general anesthesia. The patients were treated with microwave and other microwave intraoperatively for residual lesions and hemorrhage. Malignant tumors were treated with 40 Gy of radiotherapy. Results: All the 34 patients in our study were successful in one operation. The patients were followed up for 1 to 16 months. No serious complications were found. Twenty - six benign lesions with preoperative hoarseness returned to normal within 1 month after operation. Cases of early vocal cord cancer surgery to preserve the laryngeal structure and function, followed up 6 to 12 months no tumor recurrence, hoarseness improved significantly. Conclusions: The minimally invasive endoscopic thoracoscopic surgery for the treatment of benign lesions of the throat, early vocal cord cancer and precancerous lesions of great value, the technology has a large field of vision, high definition, good illumination, complete removal of lesions, retention of structural function is good Advantages, it is worth promoting clinical application.