支撐喉鏡下會厭囊腫半導體激光切除術73例

73 cases epiglottic cystectomy with semiconductor laser under self-retaining laryngoscope

朱立洪(CHU Lap Hong) ； 陳勝炬(CHAN Seng Koi) ； 劉水明(LIU Shui Ming)

《鏡湖醫學》 13卷1期 (2013/06) Pp. 40-41

摘要

目的：探討支撑喉鏡下會厭囊腫切除術在氣內麻下半導體激光手術後創面出血、恢復及復發情況。方法：回顧性分析不同方法會厭囊腫切除術的術後創面出血、恢復及復發率的差異。本院2010年～2012年10月上旬為確診會厭囊腫，經支撑喉鏡下手術切除的73例。結果：術中出血不明顯；較傳統的採用表面麻醉下用間接或直接喉鏡暴露術野，直接咬除會厭囊腫的方法優勝。結論：在支撐喉鏡下半導體激光切除會厭囊腫，手術痛苦小，手術切除徹底，既可减少了復發率，同時保證了醫療安全。

關鍵字

會厭囊腫切除術 ； 半導體激光 ； 支撑喉鏡

並列摘要

Objective: To evaluate the bleeding of raw surface,wound recovery and lesion replase of epiglottic cystectomy with semiconductor laser under self-retaining laryngoscope. Methods: Retrospective study was applied between different surgical methods in the bleeding of raw surface, wound recovery and lesion replase of epiglottic cystectomy. It contained 73 cases with final diagnosis of epiglottic cyst which accepted cystectomy with semiconductor laser under self- retaining laryngoscope by general anesthesia during 2010 until Oct 2012. Results: It was minor bleeding, it was better than cystectomy under direct laryngoscope or laryngeal mirror by topical anesthesia. Conclusion: Epiglottic cystectomy with semiconductor laser under self-retaining laryngoscope by general anesthesia is a well-complianted, less painful,thoroughly-resected,minimally recurred and extremely securited surgical approach.

並列關鍵字

Epiglottic cystectomy ； Semiconductor laser ； Self-retaining laryngoscope