CAJ | 학술논문

目的:探讨嗓音显微外科手术治疗声带各种良性病变(声带小结、声带息肉、Reinke水肿、声带囊肿等)麻醉并发症的防治方法.方法:对452例声带各种良性病变的患者在插管复合静脉麻醉下,施行支撑喉镜显微镜下嗓音显微外科手术,观察其麻醉并发症.结果:损伤鼻和(或)咽部黏膜导致活动性出血14例,反射性迷走神经兴奋而导致心率迅速下降18例,环杓关节脱位3例,声带息肉脱落导致气管异物2例,插管时损伤声带导致声带插管性肉芽3例.结论:插管复合静脉麻醉下支撑喉镜显微镜下嗓音显微外科手术治疗声带各种良性病变安全、可行,关键在于术中的操作,可使麻醉并发症降至最低.
목적:탐토상음현미외과수술치료성대각충량성병변(성대소결、성대식육、Reinke수종、성대낭종등)마취병발증적방치방법.방법:대452례성대각충량성병변적환자재삽관복합정맥마취하,시행지탱후경현미경하상음현미외과수술,관찰기마취병발증.결과:손상비화(혹)인부점막도치활동성출혈14례,반사성미주신경흥강이도치심솔신속하강18례,배표관절탈위3례,성대식육탈락도치기관이물2례,삽관시손상성대도치성대삽관성육아3례.결론:삽관복합정맥마취하지탱후경현미경하상음현미외과수술치료성대각충량성병변안전、가행,관건재우술중적조작,가사마취병발증강지최저.
Objective:To explore how to treat anesthetic complications of various kinds of benign vocal cords lesion,including chorditis nodulosa,polyp of cord,Reinke's edema and vocal cyst during phonomicrosurgery. Methods:452 patients with various kinds of benign lesion were performed mierosurgery with self-retaining laryngoscope by trachea intubation along with venery anesthesia. Anesthetic complications were observed. Results:Active bleeding caused by damaging mucous membrane of nose and/or pharyngeal portion had 14 cases, heart rate fastly decrease caused by exciting of reflectivity vagus 18 cases,deartietdation of artictdatio cricoarytenoidea 3 cases,foreign body in trachea caused by polyp of cord 2 cases,bilateral laryngeal granulomas after endotracheal intubation 3 cases. Conclusion:Surgery for benign diseases of vocal cord with phonomicrosurgery through sustaining laryngoscope by trachea intubation along with venery anesthesia is an operating with safety, feasible. The key point is the operation which can reduce the anesthetic complications.