[1]魏宏宇.支撑喉镜下声门暴露困难的相关因素[J].医学信息,2020,33(16):54-56.[doi:10.3969/j.issn.1006-1959.2020.16.017]
 WEI Hong-yu.Related Factors of Difficult Glottal Exposure Under Suspension Laryngoscope[J].Medical Information,2020,33(16):54-56.[doi:10.3969/j.issn.1006-1959.2020.16.017]
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支撑喉镜下声门暴露困难的相关因素()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年16期
页码:
54-56
栏目:
综述
出版日期:
2020-08-15

文章信息/Info

Title:
Related Factors of Difficult Glottal Exposure Under Suspension Laryngoscope
文章编号:
1006-1959(2020)16-0054-03
作者:
魏宏宇
(天津市蓟州区人民医院耳鼻喉科,天津 301900)
Author(s):
WEI Hong-yu
(Department of Otorhinolaryngology,People’s Hospital of Jizhou District,Tianjin 301900,China)
关键词:
支撑喉镜声门暴露困难
Keywords:
Suspension laryngoscopeGlottisDifficult exposure
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2020.16.017
文献标志码:
A
摘要:
支撑喉镜下进行喉部外科手术已经成为临床常规术式。支撑喉镜下进行外科手术可充分暴露术野,病变位置定位准确,利于病灶彻底清除。但是由于个体差异,支撑喉镜下声门暴露困难会严重影响手术开展。本文从头颈部解剖、特殊检查以及手术相关三个方面综述支撑喉镜下声门暴露困难因素,以期为提高临床医生对声门暴露困难认识和处理技能的掌握、喉部疾病有效治疗和支撑喉镜技术应用提供理论参考。
Abstract:
Laryngeal surgery under a suspension laryngoscope has become a routine clinical procedure. The surgical operation under the suspension laryngoscope can fully expose the operation field, and the location of the lesion is accurate, which is beneficial to the complete removal of the lesion. However, due to individual differences, the difficulty in exposure of the glottis under the suspension laryngoscope will seriously affect the operation. This article summarizes the difficult factors of glottal exposure under the suspension laryngoscope from three aspects of head and neck anatomy, special examinations and surgery, with a view to improving clinicians’ understanding of glottal exposure difficulties and mastery of handling skills, effective treatment of laryngeal diseases, and suspension laryngoscope application of mirror technology provides theoretical reference.

参考文献/References:

[1]钟磊,彭雪梅,杨丹,等.宫腔镜联合支撑喉镜在声门暴露困难支撑喉镜手术中的应用[J].医药前沿,2018,8(8):79-80.[2]Manica D,Schweiger C,Sekine L,et al.Severity of clinicalmanifestations and laryngeal exposure difficulty predicted byglossoptosis endoscopic grades in Robin sequence patients[J].Int J Pediatr Otorhinolaryngol,2016,90(1):270-275.[3]Wang CT,Liao LJ,Huang TW,et al.Comparison of treatment outcomes of transnasal vocal fold polypectomy versus microlaryngoscopic surgery[J].Laryngoscope,2015,125(5):1155-1160.[4]秦茂林,刘业海,吴开乐,等.可调式支撑喉镜下声门暴露困难患者的喉显微外科手术[J].听力学及言语疾病杂志,2016,24(2):135-138.[5]Paul RR,Varghese AM,Mathew J,et al.Difficult LaryngealExposure in Microlaryngoscopy:Can it be Predicted Preopera-tively[J].Indian J Otolaryngol Head Neck Surg,2016,68(1):65-70.[6]陶治.鼻内镜下应用支气管镜活检钳切除声门暴露极困难的声带息肉[J].听力学及言语疾病杂志,2016,24(3):311-312.[7]Latuska RF,Kuhl NO,Garrett CG,et al.Severe bradycardia associated with suspension laryngoscopy[J].The Laryngoscope,2016,126(4):949-950.[8]袁勇,冯肖连,张中宝,等.支撑喉镜结合电子喉镜切除声门暴露困难的声带良性肿物60例[J].海南医学,2017,28(5):828-830.[9]陈芳明,樊利平.鼻内镜联合支撑喉镜切除声带良性病变[J].中国耳鼻咽喉头颈外科,2015,20(11):596-596.[10]周屹.支撑喉镜联合鼻内镜监视系统下喉良性病变摘除术的临床应用及效果分析[J].吉林医学,2017,38(8):1494-1495.[11]陈其国,杨衬.膀胱镜与显微镜在支撑喉镜下切除声带息肉的疗效比较[J].中国眼耳鼻喉科杂志,2016,16(4):264-266.[12]Türkay M,Senturk T,Arslan BY,et al.Indirect laryngoscopicassessment for the diagnosis of difficult intubation in patients undergoing microlaryngeal surgery[J].Wien Med Wochenschr,2016,166(1):1-6.[13]黎景佳,陈伟雄,朱肇峰,等.支撑喉镜显微手术声门区暴露困难相关因素的前瞻性研究[J].临床耳鼻咽喉头颈外科杂志,2017,31(7):33-36.[14]金晓锋,范国康.支撑喉镜声门暴露困难相关多因素分析[J].北京医学,2016,38(2):129-132.[15]Wajekar AS,Chellaml S,Toal PV.Prediction of ease of laryn?goscopy and intubation?role of upper lip bite test,modified mal-lampati classification,and thyromental distance in various combination[J].J Family Med Prim Care,2015,4(1):101-105.[16]黄晨,莫江.影响显微支撑喉镜下声门暴露的相关因素研究[J].中国耳鼻咽喉颅底外科杂志,2016,22(4):317-319,322.[17]易星,吴学文,唐瑶云,等.可视喉镜在声门暴露困难患者喉显微手术中的应用[J].中国耳鼻咽喉颅底外科杂志,2017,23(4):342-344.[18]Dion GR,Fritz MA,Teng SE,et al.Impact of vocal fold aug?mentation and laryngoplasty on dyspnea in patients with glottal incompetence[J].Laryngoscope,2017,128(2):427-429.[19]徐向前.多功能支撑喉镜在声门暴露困难中的应用[J].中国耳鼻咽喉颅底外科杂志,2017,23(6):582-583.[20]王艳,孙燕萍,罗国进,等.声带良性病变声门暴露困难原因及对策[J].浙江临床医学,2017,19(11):2069-2071.[21]Roth D,Pace NL,Lee A,et al.Airway physical examinationtests for detection of difficult airway management in apparentlynormal adult patients[J].Cochrane Database Syst Rev,2018(5):CD008874.

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更新日期/Last Update: 1900-01-01