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目的 :探讨全麻中以塑料喷射管法控制呼吸在显微支撑喉镜手术的应用效果。方法 :对 31例喉部病变患者以塑料管喷射法控制呼吸 ,在全麻支撑喉镜下显微外科手术切除喉部病灶。结果 :31例均完整切除喉部病灶顺利完成手术。标本均经组织学检查 ,30例为良性病变 ,1例声带鳞癌 ;术中相关指标无改变。术后随访6～ 38个月 ,2例失访 ,声音恢复良好 ,无复发。结论 :全麻中使用塑料喷射管法控制呼吸 ,可以保证支撑喉镜下喉显微外科手术的顺利进行。该法操作简单 ,安全方便 ,无并发症发生。
Objective: To investigate the effect of plastic laryngoscopy in general anesthesia for controlling respiration in microsurgery laryngoscopy. Methods: Thirty-one patients with laryngeal lesions underwent plastic tube spraying to control the respiration. The patients underwent general anesthesia with laryngoscope for microsurgical resection of laryngeal lesions. Results: Thirty-one patients underwent complete laryngectomy successfully. Specimens were histologically examined, 30 cases of benign lesions, 1 case of vocal cord squamous cell carcinoma; no relevant indicators during surgery. The patients were followed up for 6 to 38 months and 2 were lost to follow-up. The sound recovered well without recurrence. Conclusion: The control of respiration with plastic injection tube in general anesthesia can ensure the smooth laryngoscopic microsurgery under the laryngoscope. The method is simple, safe and convenient, without complications.