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摘除声带前联合广基型良性肿瘤,因咽喉反射极敏感,在间接喉镜下无法完成手术。近几年来我们对7例声带前联合广基息肉,4例声带毛细血管瘤,2例声带乳头状瘤患者使用环甲膜切开径路手术,疗效较好。18例均为男性病人,年龄40～61岁,咽喉部表面麻醉效果不佳难以手术。操作方法:病人取仰卧位,肩下垫枕,头向后仰伸。局部常规消毒,1%奴夫卡因10ml 加肾上腺素两滴局部浸润麻醉。摸清环甲隙后于正中作横切口,分离皮下组织,环甲膜显露后,用空针吸取1%地卡因溶液0.5ml,经环甲膜处注入喉腔,于甲状软骨和
In addition to vocal cord combined with wide-type benign tumor, because of the throat reflex very sensitive, can not be done under the indirect laryngoscope surgery. In recent years, we have 7 cases of vocal cord preoperative combination of polyps, 4 cases of vocal cord capillary hemangioma, 2 cases of vocal cord papilloma patients using ring membrane cut surgery, better effect. Eighteen cases were male patients, aged 40 to 61 years old, the surface of the throat anesthesia poor results difficult surgery. Method of operation: Patient supine position, shoulders under the pillow, the head backward to stretch. Local routine disinfection, 1% Nuvucaine 10ml plus epinephrine two drops of local anesthesia. Clear ring gap after the middle of the transverse incision, the separation of subcutaneous tissue, exposed ring membrane, using empty needles to learn 1% cocaine solution 0.5ml, injected into the throat at the cricothyroid membrane in the thyroid cartilage and