论文部分内容阅读
目的对明确有较大的声带息肉而伴有颈部异常（如体胖颈短、颈椎病）的患者，行纤维喉镜或直接喉镜手术困难，探索一种新的手术方式以及初步疗效分析。方法选择38例直径在3mm以上带蒂息肉和广基型息肉的患者，行双进路法声带息肉摘除术，即：纤维喉镜经鼻腔插入作为光导和手术观察窗，弯式声带息肉钳经口腔入喉摘除息肉，必要时用纤维喉镜活检钳修整残留息肉。结果手术均一次成功，术后随访6个月未见复发。结论该术式对有颈部异常患者的声带息肉有临床应用价值。
OBJECTIVE: To explore the new surgical methods and preliminary analysis of the curative effect of fiber laryngoscope or direct laryngoscope in patients who have obvious vocal cord polyps with abnormal neck (such as body fat short neck, cervical spondylosis) . Methods Thirty-eight patients with pedunculated polyps and broad-based polyps with a diameter of more than 3 mm were enrolled in this study. The vocal cord polyp removal was performed by the double-approach method, namely, the laryngoscope was inserted through the nasal cavity as the light guide and the surgical observation window. Oral throat removal of polyps, if necessary, with fiber laryngoscope biopsy forceps residual polyps. Results The operation was successful at one time. No recurrence was found after 6 months of follow-up. Conclusions The procedure has clinical value for vocal cord polyps in patients with abnormal neck.