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目的 探讨间接喉镜与纤维喉镜下 ,Nd—YAG激光配合治疗较大的声带息肉的方法及疗效。方法 先在间接喉镜下行声带息肉摘除 ,再在纤维喉镜下用Nd—YAG激光对声带创缘或残蒂、凸出不平处进行凝固碳化修整。结果 5 2例均在表麻下顺利完成手术 ,4 3例声音恢复正常 ,9例声音明显好转。随访半年未见复发。结论 本方法操作简单 ,费用低 ,疗效好
Objective To explore the method and curative effect of indirect vocal laryngoscope and fiber laryngoscope and Nd-YAG laser in the treatment of larger vocal cord polyps. The method of vocal cord polyp removal in the indirect laryngoscope, and then under the fiber laryngoscope with Nd-YAG laser on the edge of the vocal cord or residual residue, protruding uneven place for solidification and carbonization trimming. Results Fifty-two patients underwent successful operation under the table of anesthesia, 43 cases returned to normal sound, and 9 cases improved obviously. No follow-up six months of recurrence. Conclusion This method is simple, low cost and good curative effect