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自1958年Storz首先将显微喉镜应用于临床以来,1960年Scalco报告了用支撑式喉镜及显微镜的配合。后经不断改进,使显微喉镜在临床上的应用,一天天扩大,现在不但可用于成人,也已用于儿童。Cologne更应用于门诊。显微喉镜的优点是借助显微镜的放大,凡一般喉镜下不能看清楚的病变,可获清晰形象,并能在动态镜下详细观察声带运动,能诊断早期癌,且病人安全,痛苦少,术者可双手操作。其禁忌症为凡患有心肌梗塞史、严重心律不齐、高血压及肝功不良者不宜手术,局部有下颌畸形、颈椎病、畸形等,也应填重考虑。本文拟对显微喉镜的器械、检查方法、手术所见及处理作一综合介绍。
Since 1958 when Storz first applied the microlaryngoscope to the clinic, 1960 Scalco reported the use of a laryngoscope with a microscope. After continuous improvement, so that the clinical application of microlaryngelary laryngoscope, expanding day by day, now not only for adults, but also for children. Cologne more used in the clinic. The advantage of microlaryngoscope is the use of microscope magnification, where the general laryngoscope can not see the clear lesions, can be a clear image, and can observe the vocal movement in dynamic microscope in detail, can diagnose early cancer, and patient safety and less pain , Who can operate both hands. The contraindications for all who have a history of myocardial infarction, severe arrhythmia, hypertension and liver dysfunction should not be surgery, local mandibular deformity, cervical spondylosis, deformity, etc., should also be considered. This article intends to micro-laryngoscope equipment, inspection methods, surgery and treatment to see a comprehensive introduction.