[硬质弯曲视频喉镜在困难喉镜暴露患者喉显微手术中的应用]
[Applying a rigid curved video laryngoscope in laryngeal microsurgery of patients with difficult laryngeal exposure].
作者信息
Wang Guoliang, Bing Dan, Chen Xinwei, Dong Pin
机构信息
Department of Otolaryngology Head and Neck Surgery，Nanjing Medical University of Shanghai General Hospital，Shanghai，200080，China.
Department of Otolaryngology Head and Neck Surgery，Tongji Hospital of Huazhong University of Science and Technology.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jun;36(6):463-466. doi: 10.13201/j.issn.2096-7993.2022.06.011.
To test the feasibility of a rigid curved video laryngoscope in laryngeal microsurgery of patients with difficult laryngeal exposure. Thirteen patients with difficult laryngeal exposure underwent microlayngeal surgery using a new-design rigid curved video laryngoscope. The clinical data were collected and analyzed. In all of the 13 patients with difficult laryngeal exposure,the fully exposure rate of glottis was 100% using a new-design rigid curved laryngoscope.But only 7 precise surgeries using our rigid curved instruments were completed successfully. Rigid curved laryngoscope is a useful tool to in treating patients with difficult laryngeal exposure in microlaryngeal surgery. Satisfactory glottis exposure, magnified surgical field and precise maneuver of the lesions could be achieved. But manipulation of this tool is challenging, which warrants further investigation．.
为测试一种刚性弯曲视频喉镜在喉暴露困难患者喉显微手术中的可行性。13例喉暴露困难的患者使用一种新设计的刚性弯曲视频喉镜进行了显微喉镜手术。收集并分析了临床数据。在所有13例喉暴露困难的患者中，使用新设计的刚性弯曲喉镜时声门完全暴露率为100%。但使用我们的刚性弯曲器械仅成功完成了7例精确手术。刚性弯曲喉镜是治疗喉暴露困难患者进行显微喉镜手术的一种有用工具。可实现令人满意的声门暴露、放大的手术视野以及对病变的精确操作。但该工具的操作具有挑战性，这值得进一步研究。
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