支撑喉镜下杓状软骨复位术治疗环杓关节脱位的疗效观察

龚桃根;马玲国;刘倩;

1:深圳市人民医院(暨南大学第二临床医学)耳鼻咽喉头颈外科

摘要
目的 探讨全麻支撑喉镜下杓状软骨复位术治疗环杓关节脱位的安全性和效果。方法 回顾性分析21例采用全麻支撑喉镜显微镜下杓状软骨复位术治疗的单侧环杓关节脱位患者的临床资料,对患者的临床特征、嗓音主观听感知评估GRBAS分级、治疗经过及疗效进行分析,评估术后一个月患者的嗓音及声带运动恢复情况。结果 21例单侧环杓关节脱位患者中前脱位16例,后脱位5例;术前重度声嘶(G3级)17例,中度声嘶(G2级)4例,最长发声时间7.1±1.5 s;术后1月发声正常(G0级)17例,轻度声嘶(G1级)2例,重度声嘶(G3级)2例,最长发声时间14.7±1.9 s,手术前后声音嘶哑总分级G各级例数及最长发声时间比较差异均有统计学意义(P<0.001);术后疗效评估治愈17例(80.95%,17/21),有效2例,无效2例(9.52%,2/21),总有效率90.48%(19/21)。结论 全麻支撑喉镜下杓状软骨复位术治疗环杓关节脱位安全、有效。
关键词
杓状软骨;环状软骨;脱位
基金项目(Foundation):
作者
龚桃根;马玲国;刘倩;
参考文献

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杓状软骨环状软骨脱位

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龚桃根马玲国刘倩