宫腔镜在声门暴露困难喉部手术中的应用

doi:10.6040/j.issn.1673-3770.0.2020.492

摘要/Abstract

摘要： 目的探讨宫腔镜在声门暴露困难手术中的应用,并与显微镜比较视野。方法通过Yamamoto分级法,筛选出45例声带病变暴露困难患者,术中分别使用宫腔镜和显微镜采集视野图像并做对比,其中38例应用宫腔镜进行手术。结果 38例应用宫腔镜手术的患者治愈率为100%,且宫腔镜比显微镜视野更有优势。结论在声门暴露困难时,宫腔镜可作为视野辅助工具,且相较于显微镜更有优势。

关键词: 宫腔镜, 显微镜, 支撑喉镜, 声门暴露困难

Abstract: Objective To investigate the usefulness of hysteroscopy during surgery for difficult laryngeal exposure and compare its visual field with that of microscopy. Methods Based on the Yamamoto grading method, 45 patients with difficult laryngeal exposure were selected. The visual field images were obtained using hysteroscopy and microscopy during the surgery. The niduses of 38 patients were removed using hysteroscopy during the surgery. Results Thirty-eight patients were successfully treated with hysteroscopy guidance. Hysteroscopy has more advantages related to the operating visual field than microscopy. Conclusion Hysteroscopy can be used forvisual guidance during interventions for difficult laryngeal exposure, and it has more advantages related to the operating visual field than microscopy.

Key words: Hysteroscopy, Microscope, Support laryngoscope, Difficult laryngeal exposure

中图分类号:

R767.9

孙浩,张杰,杨扬,倪树仁,吴宇华,刘原虎,倪鑫. 宫腔镜在声门暴露困难喉部手术中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(3): 92-95.

SUN Hao,ZHANG Jie, YANG Yang, NI Shuren, WU Yuhua, LIU Yuanhu, NI Xin. Application of hysteroscopy during surgery for difficult glottis exposure in patients with laryngeal lesions[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 92-95.

参考文献

[1] Paul RR, Varghese AM, Mathew J, et al. Difficult laryngeal exposure in microlaryngoscopy: can it be predicted preoperatively?[J]. Indian J Otolaryngol Head Neck Surg, 2016, 68(1): 65-70. doi:10.1007/s12070-015-0913-9.
[2] Yamamoto K, Tsubokawa T, Shibata K, et al. Predicting difficult intubation with indirect laryngoscopy[J]. Anesthesiology, 1997, 86(2): 316-321. doi:10.1097/00000542-199702000-00007.
[3] 梁耕田, 王素芳, 孙广滨, 等. 电子喉镜下治疗广基型声带息肉疗效分析[J]. 临床耳鼻咽喉科杂志, 2006, 20(24): 1141-1142. doi:10.3969/j.issn.1001-1781.2006.24.014.
[4] 张宏强, 田素景, 杨国庆. 支撑喉镜下声门暴露困难相关因素研究进展[J]. 人民军医, 2015, 58(10): 1225-1226.
[5] 黎景佳, 陈伟雄, 朱肇峰, 等. 支撑喉镜显微手术声门区暴露困难相关因素的前瞻性研究[J]. 临床耳鼻咽喉头颈外科杂志, 2017,31(7): 520-523. doi:10.13201/j.issn.1001-1781.2017.07.007. LI Jingjia, CHEN Weixiong, ZHU Zhaofeng, et al. Prospective study of riskfactors of difficult laryngeal exposure in suspension laryngoscopy[J]. J Clin Otorhinolaryngol Head Neck Surg, 2017,31(7): 520-523. doi:10.13201/j.issn.1001-1781.2017.07.007.
[6] 黄晨, 莫江. 影响显微支撑喉镜下声门暴露的相关因素研究[J]. 中国耳鼻咽喉颅底外科杂志, 2016, 22(4): 317-319,322. doi:10.11798/j.issn.1007-1520.201604015. HUANG Chen, MO Jiang. Study on affect factors related to laryngeal exposure in self-retaining microscopic surgery[J]. Chin J Otorhinolaryngol-Skull Base Surg, 2016, 22(4): 317-319,322. doi:10.11798/j.issn.1007-1520.201604015.
[7] 宋颖, 潘忠, 傅敏仪. 喉镜评分预测支撑喉镜手术暴露的临床意义[J]. 山东大学耳鼻喉眼学报, 2019,33(6): 81-84. doi:10.6040/j.issn.1673-3770.0.2019.303. SONG Ying, PAN Zhong, FU Minyi. Clinical significance of laryngoscope scoring system in predicting the laryngeal exposure[J]. J Otolaryngol Ophthalmol Shandong Univ, 2019,33(6): 81-84. doi:10.6040/j.issn.1673-3770.0.2019.303.
[8] 鞠丽娴, 李井成, 夏克玉, 等. 鼻内镜下联合自制角度喉钳切除声门暴露困难声带息肉23例[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 116-118. doi:10.6040/j.issn.1673-3770.0.2018.426. JU Lixian, LI Jingcheng, XIA Keyu, et al. Vocal polyps treated with nasal endoscopy and angled-laryngeal forceps: report of 23 cases[J]. J Otolaryngol Ophthalmol Shandong Univ, 2019, 33(3): 116-118. doi:10.6040/j.issn.1673-3770.0.2018.426.
[9] Ding S, Huang JW, Huang ZG, et al. Variation in prognosis of early laryngeal carcinoma after different types of cordectomy with transoral laser microsurgery[J]. Acta Otolaryngol, 2018, 138(8): 741-745. doi:10.1080/00016489.2018.1439592.
[10] Scarlata S, Fuso L, Lucantoni G, et al. The technique of endoscopic airway tumor treatment[J]. J Thorac Dis, 2017, 9(8): 2619-2639. doi:10.21037/jtd.2017.07.68.
[11] Liu B, Cheng LJ, Ming H, et al. Treatment of the early-stage glottic cancer using low-temperature radiofrequency coblation[J]. J Cancer Res Ther, 2016, 12(2): 830-833. doi:10.4103/0973-1482.175431.

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