中国耳鼻咽喉头颈外科2025，Vol.32Issue(3)：175-178,4.DOI:10.16066/j.1672-7002.2025.03.008
全麻下杓状软骨复位术中即时疗效观察的麻醉管理
Anesthetic management of immediate curative effect observation during arytenoid cartilage reduction under general anesthesia
摘要
Abstract
OBJECTIVE To investigate the improved anesthesia method of arytenoid cartilage reduction under general anesthesia in the treatment of arytenoid dislocation.METHODS The clinical data of 12 patients who underwent modified arytenoid cartilage reduction under general anesthesia in Beijing Tongren Hospital from July 2020 to March 2024 were retrospectively analyzed.To evaluate and analyze the modified anesthesia method of maintaining low degree of neuromuscular block during operation,the recovery of arytenoid cartilage movement and sound after operation.RESULTS All the 12 patients successfully completed arytenoid cartilage reduction.The articulation,arytenoid movement and glottis closure were improved significantly.Compared with the total voice handicap index(VHI),physical scores,functional scores and emotional scores before reduction,the scores at 1 month after surgery were significantly lower[83.5(75-91)vs.13(7-19),30.5(26.5-33)vs.5.5(3-7),25.5(22.5-29)vs.4(2-6),26(23.5-30)vs.4(1.5-6),P<0.001].No complications such as laryngeal spasm and laryngeal edema occurred during perioperative period.CONCLUSION Arytenoid cartilage reduction under modified general anesthesia has high safety,good patient cooperation and high reduction success rate.It provides a new option for the treatment of arytenoid dislocation.关键词
杓状软骨/关节脱位/嗓音障碍/全麻/复位Key words
Arytenoid Cartilages/joint dislocation/voice disorder/general anesthesia/reduction引用本文复制引用
石军,马丽晶,肖洋,奚春花,郭奕荟,王军..全麻下杓状软骨复位术中即时疗效观察的麻醉管理[J].中国耳鼻咽喉头颈外科,2025,32(3):175-178,4.基金项目
北京市医院管理中心儿科学科协同发展中心专项经费(XTCX201823) （XTCX201823）
北京市属医院科研培育计划项目(PX2023008) （PX2023008）
