论文部分内容阅读
作者报告呼吸道复发性乳头状瘤(RRP)22例显微内窥镜下激光手术切除105次,分析并讨论软组织并发症发生和预防。全麻支撑显微内窥镜下手术,CO_2激光脉冲0.01～0.1秒,功率2～10W,光斑直径近期用0.25mm。RRP在前、后连合声带病变,一侧全切除时,对侧宜保留2～3mm暂缓治疗区,防热能损伤,术后6～8周复查处理复发病变。本组有喉或伴悬雍垂、气管支气管RRP22例,(儿童14,成人8)。手术多于6次者10人。并发单侧声带疤痕2例,后喉蹼1例,均为严重病变经作者手术6～10次。手术间隔10天至17月。有严重喉、
Authors reported 22 cases of respiratory recurrent papilloma (RRP) under the microscope endoscopic laser surgery to remove 105 times to analyze and discuss the occurrence and prevention of soft tissue complications. General anesthesia under endoscopic surgery, CO 2 laser pulse 0.01 to 0.1 seconds, power 2 ~ 10W, the spot diameter with 0.25mm. RRP before and after the joint vocal cord lesions, one side of the total resection, the contralateral should retain 2 ~ 3mm delay treatment area, heat damage, 6 to 8 weeks after the review of the treatment of recurrent lesions. This group of throat or with uvula, tracheobronchial RRP22 cases, (children 14, adult 8). Surgery more than 6 times 10 people. Concomitant unilateral vocal cord scar in 2 cases, posterior larch webbed in 1 case, were severe lesions by the author surgery 6 to 10 times. Surgery interval of 10 days to 17 months. Have serious throat,