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使用悬吊喉镜并在手术中使用显微镜,近年来已发展成为某些发声疾病的功能性手术,通常称之为“发声外科”。作者近6年来作了近500例声带显微手术。尽管显微镜放大很多倍(×25,焦距35cm)、手术器械适合、操作轻巧,然后术后间接喉镜对照观察,仍能见到声带炎症反应:在声带上或多或少地出现微循环增加、粘膜下出血甚至小血肿,亦有声带粘膜充血、水肿者,这种现象因手术而异,数日后逐渐缓解,很少持续2—3周以上。正常发声练习需等上述现象消失,作者采用注射皮质激素的方法,以促进炎症反应快速吸
The use of suspension laryngoscopes and the use of microscopy in surgery have in recent years developed functional surgery for certain vocal diseases, commonly referred to as “vocal surgery.” The author made nearly 500 cases of vocal cord microsurgery in the past 6 years. Although the magnification of the microscope is many times larger (× 25, focal length 35 cm), the surgical instruments are suitable and the operation is light and then the indirect laryngoscope control observation can still see the vocal cord inflammation reaction: the microcirculation appears more or less on the vocal cords, Submucosal hemorrhage or even small hematoma, there are vocal cord mucosal congestion, edema, this phenomenon varies due to surgery, gradually ease a few days later, rarely last 2-3 weeks or more. The normal vocal exercises need to wait for the disappearance of the above phenomenon, the author used corticosteroid injection method to promote rapid inflammatory response