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声带白斑和红斑的临床意义一直颇有争议,为此,作者们对1972～1981年经治的42例声带白或红斑的病例做了回顾性的研究。全部病例均在全麻下行显微喉镜检查,甲苯胺蓝超活体染色,应用二氧化碳激光,将所有蓝黑着色区,以及未着色的角蛋白区和颗粒区沿Reinke层切除。对于少数因既往活检引起声带表层硬结的病例,切除平面可达声带的肌层。仅有8例应用剪刀和杯状钳行切除性活检术。标本应保持湿润,上皮面朝上,放置在一片滤纸上。若标本长达5mm,可在前端缝合一针,以资识别。应用福尔马林固
The clinical significance of vocal leukoplakia and erythema has been controversial. For this reason, the authors retrospectively studied 42 cases of vocal cords with white or erythematous lesions that were treated from 1972 to 1981. All cases underwent microscopic laryngoscopy under general anesthesia and toluidine blue hyperactive body staining. A CO2 laser was used to remove all blue-black and non-colored keratin and granule regions along the Reinke layer. For a few cases where previous biopsy causes induration of the vocal cords, the resection plane can reach the muscular layer of the vocal cords. Only 8 patients underwent resection biopsy using scissors and cup clamps. The specimen should be kept moist, with the epithelium facing up and placed on a piece of filter paper. If the specimen is 5mm long, a stitch may be sewn at the front end for identification. Applied formalin