CO<sub>2</sub>激光杓状软骨次全切除治疗双声带外展麻痹

王亚婷; 孙欣; 季文樾

doi:10.13201/j.issn.1001-1781.2018.03.009

CO₂激光杓状软骨次全切除治疗双声带外展麻痹

- 中国医科大学附属盛京医院耳鼻咽喉头颈外科(沈阳, 110004)

详细信息

通讯作者: 季文樾,E-mail:jiweny@yeah.net

中图分类号: R767.4

收稿日期: 2017-10-23

The treatment of partial CO₂ laser arytenoidectomy for bilateral vocal fold paralysis

- Department of Otorhinolaryngology Head and Neck Surgery, Shengjing Hospital Affiliated to China Medical University, Shenyang, 110004, China

More Information

Corresponding author: JI Wenyue, E-mail: jiweny@yeah.net

Received Date: 23 October 2017

摘要

摘要: 目的：探讨支撑喉镜下CO₂激光杓状软骨次全切除术对双声带外展麻痹的治疗效果。方法：对11例行支撑喉镜下CO₂激光单侧杓状软骨次全切除术的双声带外展麻痹患者进行声门形态、呼吸、嗓音、进食情况研究。该研究包括术后1~2个月拔管后声门形态、呼吸情况，术前、术后嗓音对比以及对术后是否存在吞咽、呛咳等并发症进行评估。结果：①所有患者术后呼吸困难均得到一定程度的改善，并于术后1~2个月成功拔管。②所有患者术后均对发声表示满意。客观指标显示所有患者嗓音障碍介于轻、中度之间。③有2例患者术后在进流食或进食速度过快时存在呛咳表现，但在进行相关锻炼后呛咳症状消失，均可正常进食。结论：支撑喉镜下CO₂激光单侧杓状软骨次全切除术不仅可以简便、快速地解决患者呼吸困难问题，而且患者痛苦小，花费少，疗效好。医生容易掌握，并且可以很好地保留患者喉功能，大大降低了术后并发症。
- 声带麻痹 /
- 呼吸困难 /
- 杓状软骨 /
- 喉功能
Abstract: Objective: To assess the efficacy of partial CO₂ laser arytenoidectomy in cases with bilateral vocal fold paralysis.Method: A total number of 11 patients with bilateral vocal fold paralysis who undergone partial CO₂ laser arytenoidectomy was included in this retrospective study. The efficacy of the treatment was evaluated by compare the form of glottis, the scale of dyspnea and the change of voice preoperatively and postoperatively, as well as the occurrence of surgery complications such as dysphonia and dysphagia.Result: ①All patients showed alleviation of dyspnea and had the endotracheal tube removed successfully in 1-2 months after the surgery. ②All patients were satisfied with their pronunciation and the objective index showed that all voice grading was between mild and moderate. ③Only two patients had suffered slightly bucking while on a liquid diet or eating too fast, but the symptoms had disappeared after some exercises and eating properly.Conclusion: Unilateral CO₂ laser partial arytenoidectomy is an effective, economic and less-suffering procedure which can not only solve the dyspnea results from bilateral vocal fold abductor paralysis but also can be grasped quickly by the surgeons.
- vocal cord paralysis /
- dyspnea /
- arytenoid cartilage /
- laryngeal function

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参考文献(7)

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