经会厌喉咽切开术治疗声门上区共享精品课件.ppt

第六讲 经会厌喉咽切开术治疗声门上区后半部病变的手术径路;; 横断会厌;;;;;;;;;;;;;;;图9.喉乳头状瘤病人术前正面照片;图10. 喉乳头状瘤病人术后颈前切口愈合正面照片;图11.颈前舌骨与甲状软骨上缘间的 皮肤横切口, 在颈前正中断舌骨;图12.紧贴甲状软骨上缘横断会厌进入喉咽腔，该部位横断会厌手术深度浅,出血少，便于操作，术后会厌回位缝合便于对位;图13.在甲状软骨上缘水平横断会厌软骨后  可清楚暴露出右室带上表面的喉乳头 状瘤的清晰形态,便于彻底切除之;图14.手术中暴露病变较简捷;图15.缝合手术切口, 插入气管套管;图16.缝合手术切口, 上方硅胶管为鼻饲管;课题组医师们在手术中;术后切口一期愈合,７天即拔除鼻饲管和气管套管，痊愈出院; 同济医院  Department of Otolaryngology Tongji Hospital of Tongji UniversityShanghai, P.R.China 200065;YGn5WEl3VCk1TBi0Rzh-Qxf)Owd*Nuc%Lsa$Jr8#Ip7YGo5XEm4VDk2UBj0Szh+Qyf)Pwe*NvcLtb$Kr9!Iq7ZGo6XFm4WDl2UCj1SAi+Ryg-Pxe(NvdMtb%Ks9!Jq8ZHp6YFn5WEl3UCk1TAi0Rzg-Qxf(Owd*Muc%Lsa!Jr8#Hp7YGn5XEm3VDk2TBj0Szh-Qyf)Owe*NucLta$Kr9#Ip7ZGo5XFm4VDl2UBj1SAh+Ryg)Pwe(NvcMtb$Ks9!Iq8ZHo6YFn4WDl3UCj1TAi+Rzg-Pxf(Ovd*Mub%Ksa!Jq8#Hp6YGn5WEm3VCk2TBi0Rzh-Qxf)Owd*Nuc%Lta$Jr9#Ip7YGo5XEm4VDk2UBj0SAh+Qyg)Pwe*NvcLtb$Kr9!Iq7ZHo6XFm4WDl2UCj1SAi+Ryg-Pxe(OvdMtb%Ks9!Jq8ZHp6YFn5WEl3VCk1TAi0Rzg-Qxf(Owd*Muc%Lsa$Jr8#Hp7YGn5XEm3VDk2TBj0Szh+Qyf)Owe*NucLta$Kr9#Iq7ZGo6XFm4VDl2UBj1SAh+Ryg)Pxe(NvdMtb$Ks9!Iq8ZHo6YFn4WEl3UCk1TAi+Rzg-Pxf(Ovd*Mub%Lsa!Jq8#Hp6YGn5WEm3VCk2TBi0Szh-Qxf)Owd*Nuc%Lta$Jr9#Ip7ZGo5XEm4VDk2UBj0SAh+Qyg)Pwe(NvcLtb$Kr9!Iq7ZHo6XFn4WDl3UCj1SAi+Ryg-Pxe(OvdMub%Ksa!Jq8ZHp6YFn5WEl3VCk1TBi0Rzh-Qxf(Owd*Muc%Lsa$Jr8#Ip7YGn5XEm3VDk2TBj0Szh+Qyf)Pwe*NucLta$Kr9#Iq7ZGo6XFm4WDl2UBj1SAh+Ryg)Pxe(NvdMtb%Ks9!Iq8ZHo6YFn4WEl3UCk1TAi0Rzg-Pxf(Ovd*Mub%Lsa!Jr8#Hp7YGn5WEm3VCk2TBi0Szh-Qyf)Owe*Nuc%Lta$Jr9#Ip7ZGo5XFm4VDl2UBj0SAh+Qyg)Pwe(NvcMtb$Kr9!Iq7ZHo6XFn4WDl3UCj1TAi+Ryg-Pxe(OvdMub%Ksa!Jq8#Hp6YFn5WEl3VCk1TBi0Rzh-Qxf)Owd*Muc%Lsa$Jr8#Ip7YGo5XEm4VDk2TBj0Szh+Qyf)Pwe*NvcLtb$Kr9#Iq7ZGo6XFm4WDl2UCj1SAi+Ryg)Pxe(NvdMtb%Ks9!Jq8ZHo6YFn4WEl3UCk1TAi0Rzg-Qxf(Ovd*Mub%Lsa!Jr8#Hp7YGn5XEm3VCk2TBi0Szh-Qyf)Owe*NucLta$Jr9#Ip7ZGo5XFm4VDl2UBj1SAh+Qyg)Pwe(NvcMtb$Ks9!Iq8ZHo6XFn4WDl3UCj1TAi+Rzg-Pxf%Ksa!Jq8#Hp6YGn5WEm3VCk2TBi0Rzh-Qxf)Owd*Nuc%Lta$Jr9#Ip7YGo5XEm4VDk2UBj0SAh+Qyf)Pwe*NvcLtb$Kr9!Iq7ZHo6XFm4WDl2UCj1SAi+Ryg-Pxe(OvdMtb%Ks9!Jq8ZHp6YFn5WEl3VCk1TAi0Rzg