灵活的内镜手术治疗大喉的良性非皮质病变
Petru Gurău1, Eusebiu Sencu2, Sergiu Vetricean2
1Department of Thoracic Surgery, "Timofei Moșneaga" Republican Clinical Hospital, Str. N. Testemițanu 29, MD-2025 Chișinău, Republic of Moldova.
概括
透鼻柔性内镜手术为治疗良性喉病变提供了有效的替代方案,特别是当透口微手术不可行或全身麻醉是禁忌时. 这种最少的侵入性方法提供了一个安全和有效的门诊治疗选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 最少侵入性的手术
- 喉病理学 喉病理学
背景情况:
- 跨口微手术是良性喉病变的标准.
- 解剖学上的局限性和麻醉的禁忌可以排除跨口微手术.
- 在这种情况下,透鼻柔性内镜手术是可行的替代方案.
研究的目的:
- 评估跨鼻灵活内镜手术对良性非皮质喉病变的疗效.
- 评估其作为跨口腔微手术的替代品的适用性.
主要方法:
- 在315名患者身上进行了灵活的内镜干预.
- 程序主要使用局部麻醉与自发呼吸.
- 这项研究包括各种良性非皮质病变,如多,颗粒瘤,囊,脂瘤和粉样化症.
主要成果:
- 在所有情况下都实现了完整的病变切除.
- 在7例病例中,复发性病变需要重复干预.
- 大多数手术在局部麻醉和门诊治疗下都成功进行.
结论:
- 透鼻柔性内镜手术是对良性非皮质喉病变的有效治疗方法.
- 它为那些对全身麻醉或透口微手术有禁忌的患者提供了关键的治疗替代方案.
- 该方法提供经济和节省时间的好处,大多数患者在门诊治疗.
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