Cai Hongwu, Tang Anzhou, Xu Zhiwen, Su Jiping, Zhou Yong, Nong Dongxiao
Department of Otolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Guan-gxi Medical University, Nanning, 530021, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Feb;24(4):147-8, 151.
To investigate the reason for the adhesion of vocal cord after CO2 Laser laryngeal surgery.
One hundred and nineteen patients who were untaken CO2 Laser laryngeal microsurgery.
Among 119 cases, 9 cases of bilateral vocal cord paralysis, 42 cases of vocal cord polyps and 3 cases of precancerous laryngeal lesions did not show vocal cord adhesion after CO2 Laser laryngeal microsurgery. Contrarily, one of 5 cases with laryngeal stenosis, 5 of 41 cases with laryngeal papilloma and 6 of 19 cases with laryngeal carcinoma shew the adhesion of vocal cord after CO2 Laser laryngeal microsurgery.
Through selecting the appropriate patient and surgery spot, processing correctly during and after surgery, using the suitable dosage of laser and reducing the heat radiation, the adhesion of vocal cord can be avoided after CO2 Laser laryngeal surgery.
探讨二氧化碳激光喉手术后声带粘连的原因。
119例接受二氧化碳激光喉显微手术的患者。
119例中，9例双侧声带麻痹、42例声带息肉和3例喉癌前病变在二氧化碳激光喉显微手术后未出现声带粘连。相反，5例喉狭窄患者中的1例、41例喉乳头状瘤患者中的5例和19例喉癌患者中的6例在二氧化碳激光喉显微手术后出现了声带粘连。
通过选择合适的患者和手术部位，在手术中和手术后正确处理，使用合适的激光剂量并减少热辐射，二氧化碳激光喉手术后可避免声带粘连。
