CO<sub>2</sub>激光结合自制喉扩张管治疗喉狭窄

钟刚; 熊新高

doi:10.13201/j.issn.1001-1781.2015.19.011

CO₂激光结合自制喉扩张管治疗喉狭窄

钟刚,
熊新高^,

- 华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科(武汉, 430022)

详细信息

通讯作者: 熊新高,E-mail:gaoleilei2008@aliyun.com

中图分类号: R454.2

收稿日期: 2015-06-29

Application of CO₂ laser and self-made laryngeal dilator in the treatment of the laryngeal stenosis

ZHONG Gang,
XIONG Xingao^,

- Department of Otorhinolaryngology Head and Neck Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

More Information

Corresponding author: XIONG Xingao, E-mail: gaoleilei2008@aliyun.com

Received Date: 29 June 2015

摘要

摘要: 目的: 探讨CO₂激光结合自制喉扩张管治疗喉狭窄的治疗效果。方法: 对25例喉狭窄患者进行全身麻醉支撑喉镜下CO₂激光切除喉内瘢痕组织,从气管造口置入自制喉扩张管。结果: 25例患者中,24例在术后1~12个月经检查拔管,1例再次手术后9个月经检查拔管。随访1~2年,所有患者拔管后声音恢复较好,3例发生再次喉狭窄。结论: CO₂激光结合自制喉扩张管治疗喉狭窄具有扩张效果好、并发症少、创伤小、术后恢复快等优点。自制的喉扩张管制作简单、固定牢靠、清洗方便。
- 喉狭窄 /
- 激光疗法 /
- 喉扩张管
Abstract: Objective: To study the treatment effect of CO₂ laser and self-made laryngeal dilator on the laryngeal stenosis.Method: Twenty-five patients with laryngeal stenosis were treated with CO₂ laser and self-made laryngeal dilator. The laryngeal cavity scar was resected as much as possible by using CO₂ laser and the laryngeal cavity was exposed by placing laryngeal dilator under general anesthesia.Result: The 24 cases of all were successfully decanulated 1 to 12 months after operation and could breathe freely. One case had second operation and was successfully decanulated 9 months after operation. The follow-up for 1 to 2 years showed all cases speaking well and 3 cases recurrence.Conclusion: The method for treating laryngeal stenosis using CO₂ laser and self-mande laryngeal dilator is effective, fewer complication, less invasive, and faster recovery. The laryngeal dilator is made simply and conveniently.
- laryngostenosis /
- laser therapy /
- laryngeal dilator

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参考文献(4)

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