论文部分内容阅读
目的 :探讨提高治疗双侧外展性声带麻痹疗效的手术方法。方法 :对 13例双侧外展性声带麻痹伴呼吸困难的患者 ,行气管切开插管、全麻 ,经颈侧进路内镜下实施喉外单侧杓状软骨次全切除术。结果 :手术过程均顺利 ,术后均未放置扩张子 ;呼吸和发声功能均恢复满意 ;拔管时间为 8～ 15d ,平均 11.5d ;术后随访 6～ 36个月 ,未出现再狭窄、发声质量下降及呼吸困难等并发症。结论 :该手术操作简单 ,术中对声门裂的可控性好 ,对喉黏膜无损伤 ,无需放置喉内扩张子 ;术后喉功能恢复快而满意 ,是治疗双侧外展性声带麻痹的较好术式。
Objective: To explore the surgical method to improve the curative effect of bilateral abduction vocal cord paralysis. Methods: Thirteen patients with bilateral abduction vocal cord paralysis and dyspnea underwent tracheotomy, general anesthesia and subtotal laryngeal single-ary arytenoidectomy under endoscopic approach. Results: All procedures were successful and no dilatation was found after operation. Respiration and vocal function were restored satisfactorily. Extubation time was 8-15 days (mean 11.5 days). No recurrence was found after 6 to 36 months of follow-up Decreased quality and dyspnea and other complications. Conclusion: The operation is simple, intraoperative control of glottis and fissure is good, no damage to the laryngeal mucosa, no need to place laryngeal dilator; rapid and satisfactory recovery of postoperative laryngeal function is the treatment of bilateral abduction vocal cord paralysis The better surgical procedures.