CAJ | 학술논문

目的减少喉裂开术的损伤,减轻患者的痛苦,满足患者的美容要求.方法选择喉裂开手术适应证的患者16例,局麻后环甲膜处正中沿皮纹横切开至双侧胸锁乳突肌前缘,分离带状肌、暴露环甲膜、切开环甲膜置人气管插管行全麻,以后按裂开术式手术,手术结束后于环甲膜置入8 mm气管套管,不再行气管切开.观察术后2 d患者呼吸情况及术后6～12个月术区及环甲膜处的黏膜情况.结果 16例手术患者于术后2 d拔除气管套管、缝合伤口、无呼吸困难.6个月至12个月行电子喉镜检查、术区及环甲膜光滑,外观颈部切开缝合处不明显.结论单一横切口行喉裂开术.减少了对患者的损伤和痛苦,有满足了患者的美容需求.
목적 감소후렬개술적손상,감경환자적통고,만족환자적미용요구.방법 선택후렬개수술괄응증적환자16례,국마후배갑막처정중연피문횡절개지쌍측흉쇄유돌기전연,분리대상기、폭로배갑막、절개배갑막치인기관삽관행전마,이후안렬개술식수술,수술결속후우배갑막치입8 mm기관투관,불재행기관절개.관찰술후2 d환자호흡정황급술후6～12개월술구급배갑막처적점막정황.결과 16례수술환자우술후2 d발제기관투관、봉합상구、무호흡곤난.6개월지12개월행전자후경검사、술구급배갑막광활,외관경부절개봉합처불명현.결론 단일횡절구행후렬개술.감소료대환자적손상화통고,유만족료환자적미용수구.
Objective To reduce the impairment and the pain of the patients after the laryngofission and make the outlook of the cervical part more concinnous through the modifid laryngofission. Methods First,we selected 16 patients who had indications of laryngofission. Second, We made the transversal incision along the dermal ridge of cervical part from the center of the cricothyroid membrane to the anterior border of both sternocleidomastoids, divided strap muscles, exposed and incided cricothyroid membrane in local anesthesia, then performed the general anesthesia by tracheal intubation instead of tracheotomy. Third, we operated on the patient as the laryngofission,we inserted the trachea cannula with the diametre of 8 mm into the incision of cricothyroid membrane when the surgery was over. Fianally,we observed the state of respiration during two days and whether cricothyroid membrane was injured or not during 6 to 12 months postoperationally. Results The dyspnea wasn't occurred in 16 patients during 2 days and we observed that the mucous membrane of the operative region and cricothyroid membrane was smooth through electronic-laryngoscope and the incision didn' t attract more attention during 6 to 12 months postoperationally. Conclusion The modifid laryngofission maybe reduce the impairment and the pain of patients and make the operative incision more concinnous.