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目的研究纤维喉镜对喉角化症手术的优点、方法及临床应用注意事项。方法使用日本O lym-pus纤维喉镜、冷光源、配套活检钳等,德国产Stotz显像系统,局麻下经鼻导入纤维喉镜对喉角化症手术切除,术后综合治疗。结果53例患者一次性手术切除病变,其中47例均在综合治疗后纤维喉镜下检查见病变消失,声带黏膜光滑,声嘶消失,部分病例病理证实治愈,一次性治愈率为88.7%(47/53)。结论纤维喉镜手术切除配合术后综合治疗可以作为喉角化症治疗的一种主要选择,具有推广价值。
Objective To study the advantages, methods and clinical application of fiber laryngoscope in the treatment of laryngeal keratosis. Methods Japanese O lym-pus fiber laryngoscope, cold light source, biopsy forceps and so on, the German-made Stotz imaging system, under local anesthesia through fiberoptic laryngeal laryngeal surgery, postoperative comprehensive treatment. Results Fifty-three patients underwent a one-time surgical resection of the lesion. Among them, 47 cases underwent laryngoscopy after treatment. The vocal cord mucosa was smooth and hoarse disappeared. Some cases were cured by pathology. The one-time curative rate was 88.7% (47 / 53). Conclusion The combined operation of fiberoptic laryngoscopy and postoperative comprehensive treatment can be used as a main choice for the treatment of laryngeal keratosis, which has the promotion value.