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自1997年我们在支撑喉镜下用鼻内窥镜行喉显微手术,治疗了11例声带良性病变患者,现报告如下:1 资料与方法1.1 临床资料:本组11例中,男8例,女3例,年龄20～57岁,声音嘶哑时间半年至4年.病变部位,声带前中1/3交界处8例,声带前1/3段1例,声带前联合声门下2例.其中5例为双侧病变.病理诊断:声带息肉8例,声带小结2例,肥厚性鳞状上皮增生1例.1.2 手术方法:采用鼻内窥镜(德国Storze公司产)、冷光源、电视摄录像及打印系统,在电视监视器、支撑喉镜下进行手术.插管全麻成功后,置入支撑喉镜调整至充分暴露双侧声带.将鼻内窥镜自支撑喉镜光源孔插入,在电视监视器下使用不同角度的偏角镜(0°、30°、70°)调整至声带病变组织清晰可见后固定.然后使用喉显微手术器械切除病变组织.术后给予抗生素及地塞米松治疗,禁声10天,一个月后,在纤维喉镜电
Since 1997, we underwent endoscopic laryngoscopy with endoscopic microsurgery, the treatment of 11 cases of benign vocal cord disease, are reported as follows: 1 Materials and Methods 1.1 Clinical data: The group of 11 patients, 8 males , 3 females, aged 20 to 57 years old, hoarseness of time from six months to 4 years. Lesions, 8 cases before the middle of the vocal cords in 1/3, 1 case before the vocal cords, 2 cases before the vocal fold combined with the glottis. Of which 5 cases were bilateral lesions Pathological diagnosis: 8 cases of vocal cord polyps, vocal nodules in 2 cases, hypertrophic squamous cell hyperplasia in 1 case .1.2 surgical methods: nasal endoscopy (Germany Storze company), cold light source, television Video recording and printing system, under the TV monitor, support laryngoscope surgery.After intubation anesthesia success, placed in the support laryngoscope adjusted to fully expose the bilateral vocal cords.Renaloscopic endoscopic laryngoscope light source hole Insert, under the TV monitor using different angle of the angle of the mirror (0 °, 30 °, 70 °) adjusted to the vocal cord lesions were clearly visible after the fixed and then use throat microsurgical instruments to remove the diseased tissue after the administration of antibiotics and Dexamethasone treatment, forbidden to sound 10 days a month after the fiber laryngoscopy