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目的:探讨喉显微手术治疗声带良性病变的效果及麻醉选择。方法:手术在1%丁卡因表面麻醉支撑喉镜下进行,采用普通手术显微镜连接300mm焦距镜头观察病变。结果:872例中声带息肉353例,声带小结438例,声带囊肿81例,851例完成手术,697例1次治愈,总有效率为96.9%。结论:青、壮年患者,无明显心血管疾病,可选择表面麻醉手术,表面麻醉并发症少,恢复快,支撑喉镜下显微手术清除病变彻底。
Objective: To investigate the effect of laryngeal microsurgery on benign vocal cord lesions and the choice of anesthesia. Methods: Surgical operation was performed under a 1% tetracaine anesthesia support laryngoscope. A 300mm focal length lens was used to observe the lesion with an ordinary surgical microscope. Results: There were 353 cases of vocal cord polyps in 872 cases, 438 cases of vocal nodules, 81 cases of vocal cord cysts, 851 cases completed surgery and 697 cases were cured in one time. The total effective rate was 96.9%. Conclusion: The young and middle-aged patients have no obvious cardiovascular disease. They can choose the surface anesthesia operation. The complications of the surface anesthesia are few and the recovery is quick. The removal of the lesion by the laryngoscope microsurgery is complete.