veoexrmpzt
Dołączył: 21 Lut 2011
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Wysłany: Sob 7:35, 12 Mar 2011 Temat postu: puma zet qtp mxam uoq |
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Gastroscope line borrowed polyps report of 57 cases of enucleation
Removal difficult to achieve the desired effect, since January 1998 to 2OO0 in June,[link widoczny dla zalogowanych], to borrow the throat electronic gastroscope examination and polyp removal, make up less than laryngoscopic surgery, given good results, reported as follows. One, materials and methods 1, clinical data: 57 cases of surgical patients in this group, 22 males and 35 females. Aged 17-75 years; course 20d ~ 5 years. Of which 19 cases of bilateral vocal cord polyps, 38 cases of unilateral polyps (22 cases left, right = 16), pedunculated polyps 2lD cases, 37 cases of sessile polyps. All cases were pathologically confirmed. 2, device: Japan olympus-GlF-130 electronic gastroscope; FB-25K biopsy forceps and the porous-type sprinkler system,[link widoczny dla zalogowanych], the catheter tip; equipped with electronic gastroscope examination of computer software, CD burners, color printer (EPSON-700) . 3: 1% tetracaine solution throat conventional surface anesthesia, the patient left lateral position, through the oral bite block into the endoscopy, up to the epiglottis, the slow and mirror, fully exposed throat, multi-directional observation,[link widoczny dla zalogowanych], real-time capture, display and store the image throat. When the patient made The surface of the vocal cords to complete anesthesia, exit mirror body. Playback, analysis of laryngeal disease images to determine the clamp method and location, select the appropriate biopsy forceps, biopsy by inserting holes to determine the position, with the gastroscope into the throat, directly to the lesion, extension Corps Hospital of Yangzhou, Jiangsu People's Armed Police 225OO3 Corresponding author: Liu Chang 199 * set the window of a primary hospital biopsy forceps, removal of polyps. Postoperative use of antibiotics, hormones 3d, sound off 1 week, conditions may be ultrasonic atomizing inhalation. Second, the results of efficacy evaluation. Markedly: hoarseness disappeared or significantly improved, returned to normal vocal form, I sound satisfied with their relatives. Effective: significant improvement in hoarseness; invalid: surgical failure. The group of 57 patients (76 sides), respectively, after the operation 15d, 30d referral, effective in 43 cases, effective in 12 cases, (both broad-based type or diffuse proliferative hypertrophy), 2 cases. Efficiency was 75.5% (43/57), the total effective rate 96.5% (55/57). Third, the discussion of an electronic endoscopy compared with the laryngoscope, may be broader and more clear and bright throat vision,[link widoczny dla zalogowanych], a more comprehensive, detailed, multi-directional jets observed dynamic phase. A clear picture of high-performance surveillance systems can be found in fine structural change, and even color changes, to improve the accuracy of diagnosis and surgery a success rate. 2, the electronic key port endoscopic biopsy forceps up to 5mill, (laryngoscopic biopsy forceps are 2mm) of its bite strength, range of mouth opening and occlusion compared with laryngoscope strong. Lesions within the 5mill and more able to once removed, can be graded more than 5mill removed. 57 patients in this group are indirect laryngoscopy, fiber laryngoscope failed to switch to the success of the endoscopic surgery. Endoscopic examination and Electronic throat surgery, provides a more broad, bright,[link widoczny dla zalogowanych], clear image, expanding the extent of surgery, local anesthesia for the throat to provide another shortcut.
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