双侧声带麻痹的手术治疗与术式选择

doi:10.3969/j.issn.1000-8535.2015.01.020

广州医药 ›› 2015, Vol. 46 ›› Issue (1): 60-62.DOI: 10.3969/j.issn.1000-8535.2015.01.020

双侧声带麻痹的手术治疗与术式选择

王磊, 孟庆翔, 谢景华

广州市第一人民医院耳鼻喉科(广州 510180)

收稿日期:2014-10-04 发布日期:2021-11-30
通讯作者: 王磊,E-mail:13560015227@163.com

The choice of surgical treatments for patients with bilateral vocal cord paralysis

Wang Lei, Meng Qingxiang, Xie Jjinghua

Department of Otorhinolarygology Guangzhou First People's Hospital,Guangzhou 510180,China

Received:2014-10-04 Published:2021-11-30

摘要/Abstract

摘要： 目的探讨双侧声带麻痹治疗方式的选择与疗效。方法回顾分析本院自2000年1月—2007年12月收治的双侧声带麻痹患者16例手术治疗资料与术后随访情况。结果 16例双侧声带麻痹的患者总共接受了29次手术治疗。4例鼻咽癌放疗后患者接受1次气管切开术,其他12例患者总共接受了25次手术治疗,平均每人2.1次。术式包括:气管切开术、神经肌蒂移植术、喉声带外移术、支撑喉镜CO₂激光声带手术及喉裂开单侧声带切除。结论目前针对双侧声带麻痹的手术治疗有多种术式可供选择,临床医生应结合患者具体情况为患者提供个性化的治疗方案。

关键词: 声带麻痹, 手术, 外科

Abstract: Objective To investigate the choice of surgical treatments for patients with bilateral vocal cord paralysis. Methods A retrospective analysis the operation and postoperative treatments in patients with bilateral vocal cord paralysis,from Jannuary 2000 to December 2007 in our hospital. Results A total of 29 operations were applied in 16 cases patients with bilateral vocal cord paralysis.Four cases of patients with nasopharyngeal carcinoma were received one time tracheotomy after radiotherapy.The others were received operation therapy for a total of 25 times.The average operation times in these groups was 2.1.Among them:Two patients were received one time operation,accounted for 16.7%(2/12);Five patients were received two times operation,accounted for 41.7%(5/12);Three patients were received three times operation,accounted for 25%(3/12);One patient was received four times operation,accounted for 6.3%(1/12).The surgical treatments included of tracheotomy,neuromuscular pedicle transplantation,lateral cordopexy,the laryngoscope vocal cord operation by CO₂ laser and laryngofissure unilateral vocal cord resection. Conclusion There have a variety of surgical options for bilateral vocal cord paralysis.Clinicians should provide individualized treatment plans for patients combined with their specific circumstances.

Key words: Vocal cord paralysis, Operation, Surgical

王磊, 孟庆翔, 谢景华. 双侧声带麻痹的手术治疗与术式选择[J]. 广州医药, 2015, 46(1): 60-62.

Wang Lei, Meng Qingxiang, Xie Jjinghua. The choice of surgical treatments for patients with bilateral vocal cord paralysis[J]. Guangzhou Medical Journal, 2015, 46(1): 60-62.

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双侧声带麻痹的手术治疗与术式选择

The choice of surgical treatments for patients with bilateral vocal cord paralysis

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