论文部分内容阅读
在纤维鼻咽镜导引下对12例鼻咽部腺样体肥大患者行半导体激光切除术,局麻后从鼻腔入路,在纤维鼻咽镜直视下导入激光光纤,He-Ne 红光指引准确定位,用先凝固再切割的方法,避免了术中、术后的出血。组织气化产生的少量烟雾由纤维鼻咽镜吸出,以保持术中术野清晰。12例中10例1次性治愈,2例术后1月再次手术治愈。术后鼻咽部不适、异物感及通气障碍等症状均明显改善或消失,无1例发生并发症。纤维鼻咽镜导引下半导体激光腺样体肥大切除术,操作简便、准确、安全,无需全麻,无出血之虞,对周围组织及深部组织损伤小,是值得临床推广的一种新的腺样体肥大切除方法。
Guided by fiber nasopharyngeal in 12 cases of nasopharyngeal adenoid hypertrophy in patients with semiconductor laser resection, after local anesthesia from the nasal cavity into the fiber optic nasopharyngoscope under direct vision into the laser fiber, He-Ne red Guide accurate positioning, with the first method of coagulation and then cut to avoid intraoperative and postoperative bleeding. A small amount of smoke generated by tissue gasification is aspirated by fiber nasopharyngeal aspiration to keep the intraoperative field clear. Of the 12 cases, 10 cases were cured in one time and 2 cases were cured by surgery again in January. Postoperative nasopharyngeal discomfort, foreign body sensation and ventilation and other symptoms were significantly improved or disappeared, no one case of complications. Fiber optic nasopharyngeal guided laser diode adenoid hypertrophy resection, simple, accurate, safe, without general anesthesia, no bleeding risk of damage to the surrounding tissue and deep tissue is small, is worthy of clinical promotion of a new Adenoid hypertrophy resection method.