CAJ | 학술논문

目的:分析CO_2激光手术治疗喉部疾病引起声带粘连的原因.方法:回顾性分析显微支撑喉镜下行喉部激光手术119例的临床资料.结果:119例患者中,双侧声带外展麻痹9例,声带息肉42例,喉癌前病变3例激光手术后均未引起声带粘连;喉狭窄5例中有1例,喉乳头状瘤41例中有5例,喉癌19例中有6例激光手术后出现声带粘连.结论:CO_2激光手术通过选择合适的患者及手术部位,完善术中术后的处理,采用适宜的激光照射剂量,减少热辐射,可减少或避免显微喉镜激光手术引起的声带粘连.
목적:분석CO_2격광수술치료후부질병인기성대점련적원인.방법:회고성분석현미지탱후경하행후부격광수술119례적림상자료.결과:119례환자중,쌍측성대외전마비9례,성대식육42례,후암전병변3례격광수술후균미인기성대점련;후협착5례중유1례,후유두상류41례중유5례,후암19례중유6례격광수술후출현성대점련.결론:CO_2격광수술통과선택합괄적환자급수술부위,완선술중술후적처리,채용괄의적격광조사제량,감소열복사,가감소혹피면현미후경격광수술인기적성대점련.
Objective:To investigate the reason for the adhesion of vocal cord after CO_2 Laser laryngeal surgery.Method:One hundred and nineteen patients who were untaken CO_2 Laser laryngeal microsurgery.Result: 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 CO_2 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 CO_2 Laser laryngeal microsurgery.Conclusion: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 CO_2 Laser laryngeal surgery.