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目的 :探讨在局麻下经间接喉镜和直接喉镜杓状软骨拨动术对气管插管致环杓关节脱位的疗效。方法 :将 2 3例气管插管致环杓关节脱位患者随机安排在局麻下经间接喉镜或直接喉镜行杓状软骨拨动术 ,并对两组进行比较。结果 :每组患者的治疗起始时间与发音功能康复时间呈正相关 ;两组患者的治疗起始时间和发音功能康复时间的比较差异无显著性意义 (P >0 .0 5 ) ,复位次数差异有显著性意义 (P <0 .0 5 ) ,术后咽喉疼痛反应持续时间的差异无显著性意义 (P >0 .0 5 )。结论 :喉损伤的治疗起始时间对患者完全恢复发音功能有重要影响。两种方式对环杓关节脱位均有良好疗效。直接喉镜杓状软骨拨动术对喉损伤病程偏长的患者较为适合
OBJECTIVE: To investigate the curative effect of circumflexicular dislocation caused by endotracheal intubation through indirect laryngoscope and direct laryngoscope-arytenotomy under local anesthesia. Methods: Twenty-three cases of dislocation caused by endotracheal intubation were randomized to receive arytenoid cartilage by indirect laryngoscope or direct laryngoscope under local anesthesia. The two groups were compared. Results: The onset time of each group was positively correlated with the recovery time of phonological function. There was no significant difference between the two groups in the time of treatment and the recovery time of phonological function (P> 0.05) (P <0.05). The duration of postoperative sore throat reaction had no significant difference (P> 0.05). Conclusion: The onset of laryngeal injury has a significant effect on the patient’s complete recovery of speech. Both ways have a good effect on the ring joint dislocation. Direct laryngoscope arytenoid cartilage surgery on the longer duration of laryngeal injury in patients with more suitable