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为探讨多种进路激光治疗喉内病变的临床效果,采用支撑喉镜,喉造口,以激光治疗喉腔内特殊病变14例,包括先天性喉蹼、声带粘连、双侧喉返神经麻痹、复发性多发性喉乳头状瘤多次手术无效、喉外伤后甲状软骨及其内结构严重破坏以及继发感染伴喉腔大量肉芽生长及瘢痕形成者。随访至少观察6个月,14例声嘶均得到不同程度改善;13例呼吸恢复正常,另1例改用其他方法治愈。认为激光治疗喉病变具有其他手术方法所不具备的优越性。喉造口是治疗复发性多发性喉乳头状瘤及严重喉外伤喉腔大量肉芽生长的好方法,但术后必须观察2~3个月方可关闭喉腔。
In order to explore the clinical effect of laser treatment of laryngeal lesions with a variety of approaches, laryngoscope and laryngeal stoma were used to treat 14 special laryngeal lesions including congenital laryngeal web, vocal cord adhesion and bilateral recurrent laryngeal nerve paralysis , Recurrent multiple laryngeal papillomatosis multiple surgeries ineffective, thyroid cartilage after throat trauma and its serious damage to the structure and secondary infection with massive laryngeal granulation growth and scar formation. At least 6 months after follow-up, 14 cases of hoarseness were improved to varying degrees; 13 cases of normal respiration, and the other to use other methods to cure. Laser treatment of laryngeal lesions that have other surgical methods do not have the advantages. Throat stoma is a good way to treat large number of recurrent laryngeal papilloma and laryngeal granuloma growth in serious laryngeal trauma, but the laryngeal cavity should be closed after 2 ~ 3 months.