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类风湿性关节炎引起环杓关节强硬可使声带活动度降低,当病变累及环杓关节时声带可固定于内收位,气道阻塞严重时,则需行气管切开。对于双侧声带麻痹的多种手术疗法亦曾用于治疗此病,但疗效不够满意。侧固定法用于双侧声带麻痹,据报道疗效尚好,但在环杓关节强硬的病人,并不能改善其呼吸。后来对这一手术进行了改良,包括先活动环杓关节并立即着手施行侧固定,本文报道用此新的手术于6个病例。患者平均年龄58岁,术前只有1例青年患者未施行气管切开术,通气系用插入鼻腔的较小支气管导管的喷射技术,其他病人则通过气管造口。手术在全
Rheumatoid arthritis can cause crescent joint stiffness can reduce the activity of the vocal cords, when the lesion affects the cricoid joint vocal fold can be fixed in the adduction, severe airway obstruction, the need for tracheotomy. A variety of surgical treatment of bilateral vocal cord paralysis has also been used to treat the disease, but the effect is not satisfactory. Side fixation is used for bilateral vocal cord paralysis and reportedly to be effective, but patients who are hard at the circumferior joint do not improve their breathing. Later, the procedure was improved, including the activities of the first ring around the cricoid joint and the immediate implementation of lateral fixation, this article reports the use of this new surgery in six cases. The average age of the patients was 58 years. Only one young patient underwent preoperative tracheotomy. Ventilation was performed using a smaller bronchial tube inserted into the nasal cavity. Other patients were tracheostomated. Surgery in the whole