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本文报道了98例T_1声门癌施行经口切除性活检的治疗结果,其中鳞状细胞癌68例,疣状癌12例,梭形细胞癌3例,放疗后残余或复发的15例,均随访3年以上。手术方法:全身麻醉下用内径6 mm的气管插管,控制呼吸,尽量使患者保持安静和肌肉松弛,俾能从容不迫地操作。应用内径较大的悬吊喉镜,充分暴露病变的全貌。以2%甲苯胺蓝超活体染色,以显示不明显的原位癌和非典型病变,并将其包括在切除的标本内。为了尽量减轻术后声门水肿,术中用地塞米松0.15 mg/kg静脉滴注。用10～25倍的手术显微镜。先以杯状钳夹持住病
This article reported the results of oral biopsy performed on 98 cases of T1 glottic carcinoma, including 68 cases of squamous cell carcinoma, 12 cases of verrucose carcinoma, 3 cases of spindle cell carcinoma, and 15 cases of residual or recurrence after radiotherapy. Followed more than 3 years. Surgical methods: Under general anesthesia, use an endotracheal tube with an internal diameter of 6 mm to control the breathing, try to keep the patient quiet and relaxed, and then perform the operation with ease. Use a laryngoscope with a larger inner diameter to fully expose the entire lesion. Stain with 2% toluidine blue to show insignificant carcinoma in situ and atypical lesions and include them in the resected specimen. In order to minimize postoperative glottis edema, dexamethasone 0.15 mg/kg was infused intravenously during the operation. Use 10 to 25 times the operating microscope. Hold the disease with cup clamp first