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支气管潜窥镜在喉显微手术中的应用 被引量:10

Application of Hopkings Bronchoscopic Telescope in Microlaryngoscopic Surgery
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摘要 目的 探讨支气管潜窥镜下行喉显微手术的可行性。方法 全麻支撑喉镜下应用支气管潜窥镜HopkingsTelescope(30°,4mm× 36 0mm)为 5 7例喉疾患者进行检查及手术。结果  5 7例患者应用该方法完整观察到声门、喉室、前联合、声门下区并顺利完成手术 ,完整摘除 5 2例声带息肉、小结、囊肿 ,效果满意 ,未发生并发症 ;成年人乳头状瘤 5例 ,摘除后未发现复发。结论 支气管潜窥镜是可以替代显微镜行喉显微手术的有用工具 ,并显示了某些优点。 Objective To assess the feasibility of application of Hopkings bronchoscopic telescope in microlaryngoscopic surgery. Methods In a prospective study, 57 patients with benign lesions of vocal fold were examined and treated under Hopkings bronchosopic telesope. Results Hopkings bronchoscopic telescope significantly enhances the ability to assess the endolarynx, offers high quality imaging even of regions that are traditionally difficult to explore,such as the inferior surface and free border of the vocal cord, anterior commissure, ventricle and subglottis. 52 cases of vocal cord polyp?nodes and cyst were successful excised with good results, without complications. 5 cases of papilloma of larynx in adult were removed and followed-up without recurrence.Conclusion Hopkings bronchoscopic telescope is an excellent instrument in microlaryngoscopic surgery, and may also be a good equipment to replace operating microscope.
出处 《听力学及言语疾病杂志》 CAS CSCD 2001年第4期233-234,共2页 Journal of Audiology and Speech Pathology
关键词 支气管潜窥镜 喉显微外科 声带良性病变 Microlaryngoscopic surgery\ \ Hopkings bronchoscopic telescope-Rigid endoscopy\ \ Benign lesions vocal fold
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参考文献4

  • 1赵宁军,刘桂英,许时晖.声带息肉的二种手术方法疗效分析[J].听力学及言语疾病杂志,1999,7(4):208-209. 被引量:3
  • 2阎承先,朱奕祺.硬管潜窥镜.见:姜泗长,阎承先,主编.现代耳鼻咽喉科学[M].天津:天津科学技术出版社,1994.637~639.
  • 3杨强显微喉镜手术的进展.见:姜泗长,阎承先,主编.现代耳鼻咽喉科学[M].天津:天津科学技术出版社,1994.698~708
  • 4Lore JM Jr. Telescopic endolaryngeal surgery [J ]. Ann Otol Rhinol Laryngol,1987,96:525.

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