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声带小结又称结节性喉炎,是喉科常见多发病。以往治疗时主要指导患者纠正错误的发声方法,嘱患者声休,服用中西药物等,疗程长,疗效欠佳。传统的手术治疗则因其病变范围小而有一定难度,治疗效果也不甚满意。喉显微手术效果好但因设备条件等因素,尚未能在基层医院普遍开展。近年,随着激光医学的研究发展及其在喉科的临床应用,已为此疾患提供了一种新的治疗手段。我科自1991年以来应用改制的间接喉钳引导YAG激光导光纤维在间接喉镜下治疗慢性结节性喉炎,取得了满意疗效,现将资料完整的20例报道如下。
Vocal nodules, also known as tuberous laryngitis, is a common incidence of laryngology. In the past, the patients were mainly instructed to correct the wrong vocalization method, Zhu Huanzheng patients, taking Chinese and Western medicines, long course of treatment, poor efficacy. The traditional surgical treatment because of its lesser extent and a certain degree of difficulty, the treatment is not satisfactory. Throat microsurgical effect is good but due to equipment conditions and other factors, has not yet been widely carried out in primary hospitals. In recent years, with the development of laser medical research and its clinical application in laryngology, this disease has provided a new treatment. Indirect laryngeal forceps have been used in our department since 1991 to guide YAG laser fiber in the treatment of chronic nodular laryngitis under indirect laryngoscope and achieved satisfactory curative effect. Now, 20 cases with complete data are reported as follows.