两种手术方法治疗双侧声带神经麻痹

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (2): 55-56.

两种手术方法治疗双侧声带神经麻痹

彭峰,莫宋平,符士楠，杨礼明

肇庆市第一人民医院，广东肇庆 526021

收稿日期:2008-03-25 修回日期:2010-01-06 出版日期:2010-04-16 发布日期:2010-04-16
作者简介:彭峰，男，主治医师，主要从事头颈外科的研究。 Email:939189724@qq.com

Two kinds of surgical treatments for bilateral vocal cord paralysis

PENG Feng, MO Songping, FU Shinan, YANG Liming

Department of Otorhinolaryngology, First People′s Hospital of Zhaoqing City, Zhaoqing 526021, Guangdong, China

Received:2008-03-25 Revised:2010-01-06 Online:2010-04-16 Published:2010-04-16

摘要/Abstract

摘要：

目的通过观察经喉外进路及经支撑喉镜下行CO2激光手术切除杓状软骨治疗双侧声带神经麻痹的疗效，对比两种手术方法的优缺点，择优选取合适的术式。方法对双侧喉返神经致喉狭窄的13例术后患者进行随访，其中7例行喉外进路杓状软骨切除术声带外展固定，6例行经支撑喉镜下行CO2激光手术切除杓状软骨，13例术前均已行气管切开，术后随访6个月至2年。结果采用喉外进路杓状软骨切除术声带外展固定7例，术后1次拔管3例,2次拔管2例；采用经支撑喉镜下行CO2激光手术切除杓状软骨6例，术后1次拔管4例，2次拔管1例。结论两种手术方法各有优缺点。

关键词: 声带麻痹；杓状软骨切除； CO2激光

Abstract:

Objective To explore the optimal treatment for bilateral vocal cord paralysis by comparing arytenoidectomy through the neck with the endoscopic CO2 laser arytenoidectomy. Methods 13 cases of bilateral vocal cord paralysis were retrospectively reviewed. 7 received the arytenoidectomy through the neck and 6 received the endoscopic CO2 laser arytenoidectomy. All 13 cases received preoperative tracheotomy and postoperative follow-up from 6 months to 2 years. Results 3 out of 7 patients receiving the arytenoidectomy through the neck and 4 out of 6 patients receiving the endoscopic CO2 laser arytenoidectomy gained extubation smoothly. Conclusion The two kinds of surgical treatment methods have their own advantages and disadvantages.

Key words: Vocal cord paralysis; Arytenoidectomy; CO2 laser

中图分类号:

R767.4

彭峰,莫宋平,符士楠，杨礼明. 两种手术方法治疗双侧声带神经麻痹[J]. 山东大学耳鼻喉眼学报, 2010, 24(2): 55-56.

PENG Feng, MO Songping, FU Shinan, YANG Liming. Two kinds of surgical treatments for bilateral vocal cord paralysis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(2): 55-56.

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