摘要
目的比较支撑喉镜与间接喉镜手术治疗声带息肉的临床效果。方法选择2017年2-12月医院收治的声带息肉患者76例,根据不同喉镜引导下手术分为试验组与对照组各38例,试验组采用支撑喉镜手术治疗,对照组采用间接喉镜手术治疗。比较2组临床疗效、手术时间、嗓音恢复时间、喉镜置入损伤、声带损伤及复发情况。结果 2组总有效率比较差异无统计学意义(P>0.05);试验组治愈率高于对照组,差异有统计学意义(P<0.05)。2组患者的手术均顺利完成,病变组织行病理检查排除恶化。2组的手术用时、嗓音恢复时间、喉镜置入损伤比较差异均无统计学意义(P>0.05)。2组患者术后均获得至少半年的随访,随访期间,试验组声带损伤率及复发率均低于对照组,差异有统计意义(P<0.05)。结论支撑喉镜与间接喉镜下手术治疗声带息肉均可获得较好的效果,但从整体疗效来看,支撑喉镜下手术更具优势。
Objective To compare the clinical effects of support laryngoscope and indirect laryngoscope surgery in treatment of vocal cord polyps.Methods 76 patients with vocal cord polyps admitted to the hospital from February to December 2017 were selected.According to different laryngoscope guided surgery,they were divided into experimental group and control group,each of 38 cases.Experimental group was treated with support laryngoscopy and control group was treated with indirect laryngoscopy.The clinical efficacy,operation time,voice recovery time,laryngoscope placement injury,vocal cord injury and recurrence were compared between two groups.Results There was no significant difference in the total effective rate between two groups(P>0.05);The cure rate of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).The operation of both groups of patients was successfully completed,and the pathological examination of the diseased tissue was excluded.There were no significant differences in the operation time,voice recovery time,and the injury of the laryngoscope in two groups(P>0.05).The patients in both groups were followed up for at least half a year.During the follow-up period,the vocal cord injury rate and recurrence rate of experimental group were lower than control group,and the difference was statistically significant(P<0.05).Conclusion Support laryngoscopy and indirect laryngoscopy can achieve better results in treatment of vocal cord polyps,but it is more advantageous to support laryngoscopy surgery from the overall efficacy.
作者
周浩
李雷激
ZHOU Hao;LI Leiji(Department of Otorhinolaryngology Head and Neck Surgery,Longchang People's Hospital,Sichuan Province,Longchang 642150,China)
出处
《临床合理用药杂志》
2019年第7期38-39,41,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
声带息肉
间接喉镜
支撑喉镜
手术时间
Vocal cord polyps
Indirect laryngoscopy
Support laryngoscope
Operation time
