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目的:探讨纤维喉镜声带手术后并发声带瘢痕的预防措施及其重要性。方法:对350例声带息肉、小结、囊肿患者施行纤维喉镜手术,在围手术期都采取必要的预防措施,以防术后并发声带瘢痕。在术前进行病因治疗、语音培训,术中重视操作技巧,术后声休及药物治疗等。术后2个月,统计声带瘢痕的发生率,根据声带瘢痕临床特点和发生机制,评价预防其发生的重要性,并探讨有效的预防措施。结果:术后并发声带瘢痕的发生率为12.3%,是术后发声障碍的主要原因;声带瘢痕无有效治疗方法,重在预防;在术前准备、手术及术后康复治疗的各个时期采取针对性的预防治疗,都是减小声带瘢痕发生的重要方法。结论:预防纤维喉镜声带手术后并发声带瘢痕非常重要,必须引起重视;各种针对性的预防措施应贯穿整个围手术期,才能避免或减少声带瘢痕的发生。
Objective: To investigate the preventive measures and their importance of vocal cord scar after laryngoscope operation. Methods: 350 cases of vocal cord polyps, small knot, cyst patients underwent fiber laryngoscope surgery, in the perioperative period to take the necessary precautions to prevent postoperative vocal cord scars. Preoperative etiological treatment, voice training, intraoperative emphasis on operating skills, postoperative vomiting and drug treatment. At 2 months after operation, the incidence of vocal cord scar was calculated. According to the clinical features and mechanism of vocal cord scar, the importance of prevention of its occurrence was evaluated and the effective preventive measures were discussed. Results: The incidence of postoperative vocal cord scar was 12.3%, which was the main reason of postoperative vocal dysfunction. There was no effective treatment for vocal cord scar, which was focused on prevention. At each stage of preoperative preparation, operation and postoperative rehabilitation treatment, Sexual prevention and treatment, are important ways to reduce the occurrence of vocal cord scarring. Conclusion: It is very important to prevent vocal cord scarring after operation of vocal laryngoscope. It is necessary to pay attention to it. A variety of targeted preventive measures should be taken throughout perioperative period to avoid or reduce the occurrence of vocal cord scar.