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目的 :分析经喉内镜手术后并发症的发生原因及其防治措施。 方法 :使用从德国STORZ公司引进的国内首套喉内镜手术系统 ,治疗包括声带小结、声带息肉、喉乳头状瘤、声带囊肿、会厌囊肿、喉部炎性假瘤、喉部血管瘤等 5 8例患者 ,并随访 2～ 36个月 ,观察主要并发症并作相应处理。 结果 :5 8例患者中发音正常者 5 4例 ,发音功能明显好转者 4例。主要并发症有 :牙齿松动 2例 ,牙齿脱落 1例 ,声带粘连 1例 ,舌体麻木 1例 ,舌运动障碍 1例 ,术后拔管时喉痉挛 1例。 结论 :经喉内镜手术可在微创的前提下彻底清除病灶 ,并最大限度地保留发音功能 ,只要术前严格掌握适应证 ,术中精细操作 ,其并发症是可以避免的。
Objective: To analyze the causes of complications after throat endoscopic surgery and the preventive measures. Methods: The first laryngoscope system introduced from STORZ in Germany was used to treat vocal cord nodules, vocal cord polyps, laryngeal papilloma, vocal cords, epiglottis cyst, throat inflammatory pseudotumor and laryngeal hemangioma Eight patients were followed up for 2 to 36 months. The main complications were observed and treated accordingly. Results: There were 54 cases with normal pronunciation in 58 cases and 4 cases with obvious improvement in pronunciation function. The main complications were: tooth loosening in 2 cases, tooth loss in 1 case, vocal cord adhesion in 1 case, tongue numbness in 1 case, tongue dyskinesia in 1 case and postoperative laryngospasm in 1 case. Conclusion: Throat endoscopy can completely remove the lesion under the premise of minimally invasive surgery and maximize the function of pronunciation. As long as the indications and intraoperative fine operation are strictly controlled before operation, the complication can be avoided.