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目的 探讨会厌囊肿的激光切除方法及疗效。方法 在门诊坐位间接喉镜窥视下借助自制光导纤维弯形金属把柄引导行激光手术切除会厌囊肿。结果 2 1例会厌囊肿经激光手术均能有效切除。随访 3～ 6个月无复发。结论 会厌囊肿通常在间接喉镜或直接喉镜下用喉息肉钳咬除或用小弯刀切除法 ,常可造成粘膜撕裂 ,出血较多 ,病人痛苦大。本组在间接喉镜窥视下借助自制光纤弯形金属把柄引导 ,采用激光囊肿切除法有时间短、操作简单、无粘膜撕裂、出血少、病人痛苦小的优点。
Objective To study the laser ablation method and curative effect of epiglottis cyst. Methods A laryngoscope was used in the outpatient sitting position to guide the laser surgery to remove the epiglottis cyst by means of a curved metal handle made of self-made optical fibers. Results 21 cases of epiglottis cysts can be effectively excised by laser surgery. Follow-up 3 to 6 months without recurrence. Conclusion Epiglottis cyst usually laryngeal polyp forceps under indirect laryngoscope or direct laryngoscope bite or small scimitar resection method, can often cause mucosal tears, bleeding more, the patient painful. This group under the indirect laryngoscope with homemade fiber bend metal handle guide, laser cyst excision method has a short time, simple operation, no mucosal tear, less bleeding, the advantages of small patient pain.