ISSN 1673-3770 CN 37-1437/R
山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (6): 18-21.doi: 10.6040/j.issn.1673-3770.1.2018.024
刘大昱(
),孙睿杰*(),李学新,姜震,岳建林,林云,雷大鹏,潘新良
Dayu LIU(),Ruijie SUN*(),Xuexin LI,Zhen JIANG,Jianlin YUE,Yun LIN,Dapeng LEI,Xinliang PAN
摘要： 探讨支撑喉镜下CO2激光杓状软骨部分切除治疗双侧声带麻痹的疗效。 回顾分析2010年1月至2017年6月期间诊断为双侧声带麻痹，并在山东大学齐鲁医院耳鼻咽喉科接受支撑喉镜CO2激光杓状软骨部分切除术患者26例，统计患者的拔管率、术后拔管时间、手术次数、住院时间、并发症发生率。评价支撑喉镜CO2激光切除声带后部及部分杓状软骨切除术的疗效。 所有患者均于术后5~10 d出院。吞咽功能恢复率100%，无喉部水肿窒息、严重误吸、严重出血并发症。拔管率88%，拔管时间为术后2~25个月；再手术率36%，9例中1例接受3次手术。主观嗓音较术前无实质性下降者为52%(13/25)。拔管患者中21例自觉日常生活及轻度运动无呼吸困难。 支撑喉镜CO2激光杓状软骨部分切除术具有创伤小、术后恢复快、并发症发生率低，兼顾呼吸改善和嗓音、吞咽功能保护的优点，疗效确切，是治疗双侧声带麻痹的可靠术式。提高术后拔管率的关键在于控制手术区肉芽组织及瘢痕的生长。
中图分类号:
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