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目的 :将 Nd:YAG激光同手术显微镜结合 ,在支撑喉镜下开展 YAG激光喉显微外科手术 ,探讨该手术治疗喉狭窄的方法及其疗效。方法 :对应用显微喉镜激光手术治疗的 1 8例喉狭窄病人临床资料进行回顾性分析。结果 :本组 1 8例 ,1次激光术后可拔管 1 0例 ,2次激光术后拔管 5例 ;所有病例随访 6～ 1 3个月 ,1 2例效果满意 ,均已拔管 ,未再次行气管切开术。结论 :根据喉狭窄的具体情况 ,选择显微喉镜激光手术 ,可显著提高疗效 ,值得临床推广使用
Objective: Nd: YAG laser combined with surgical microscope in the laryngoscope YAG laryngeal microsurgical surgery to explore the surgical treatment of laryngeal stenosis and its efficacy. Methods: The clinical data of 18 cases of laryngeal stenosis treated with laser microlaryngoscope were analyzed retrospectively. Results: The group of 18 cases, 1 can be extubated 10 cases after laser surgery, 2 after extubation in 5 cases; all cases were followed up 6 to 13 months, 12 cases of satisfactory results, have been extubated , Did not re-tracheotomy. Conclusion: According to the specific conditions of laryngeal stenosis, the choice of microlaryngoscope laser surgery can significantly improve the efficacy, it is worth promoting the use of clinical