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用二氧化碳激光及纤维蛋白胶行声带外展术以治疗双侧声带麻痹引起的呼吸困难15例,效果满意。手术在内窥镜下进行,操作方法简便。手术方法:①为适应激光手术,需插小口径气管插管,如已气管切开则无需插管;②用悬吊喉镜暴露喉头;③在手术显微镜下用二氧化碳激光在声韧带旁边的声带肌上做一槽,沟外侧缘保留一小条声带肌内侧部纤维;④切开声带突粘膜,折断声带突,多数病例将其切除,注意保护中线侧粘膜;⑤槽内注满快速凝固的纤维胶,将韧带连同声带肌粘合固定于沟
Fifteen patients with dyspnea caused by bilateral vocal cord paralysis were treated with carbon dioxide laser and fibrin glue vocal cord abduction with satisfactory results. Surgery under the endoscope, the operation method is simple. Surgical methods: ① To adapt to laser surgery, need to insert a small-caliber endotracheal intubation, tracheotomy is no need for intubation; ② throat laryngoscope exposed throat; ③ Under the operating microscope with carbon dioxide laser in the acoustic ligament next to the vocal cords Muscle to do a slot, the groove lateral margin to retain a small vocal cord myenteric fibers; ④ cut the vocal cord sudden mucosa, broken vocal fold, the majority of cases removed, pay attention to protect the midline mucosa; ⑤ filled with rapid solidification tank Fibers, the ligament together with vocal cord muscle fixed in the ditch