摘要
目的探讨显微支撑喉镜手术治疗声带息肉患者的效果。方法选择2013年12月至2018年12月我院接收并诊治的121例声带息肉患者为研究对象,按照信封法将其分为普通组(60例)和显微组(61例)。普通组给予普通支撑喉镜手术治疗,显微组给予显微支撑喉镜手术治疗。比较两组患者治疗前、后嗓音功能指标、临床疗效及术后并发症发生情况。结果治疗前,两组患者的NNE、Shimmer、Jitter比较,差异不具有统计学意义(P>0.05);治疗后,两组患者的NNE均升高,Shimmer、Jitter均降低,且显微组NNE高于普通组,Shimmer、Jitter低于普通组(P<0.05)。治疗后,显微组双侧息肉患者的治疗总有效率为97.22%,高于普通组的60.00%,显微组广基息肉患者的治疗总有效率为96.00%,高于普通组的56.00%,差异具有统计学意义(P<0.05)。显微组患者术后并发症总发生率为4.92%,低于普通组的20.00%,差异具有统计学意义(P<0.05)。结论声带息肉患者行显微支撑喉镜手术治疗的效果显著,能够明显改善患者嗓音功能,提高临床疗效,降低并发症发生率,安全性更高,值得临床推广应用。
Objective To investigate the effect of microsupport laryngoscope in the treatment of patients with vocal cord polyps. Methods From December 2013 to December 2018, 121 patients with vocal cord polyps admitted and treated in our hospital were selected as the study objects, and the patients were divided into ordinary group(60 cases) and microscopic group(61 cases) according to the envelope method. The ordinary group was treated with general support laryngoscope,while the microscopic group was treated with microsupport laryngoscope. The voice function indexes before and after treatment, clinical efficacy and postoperative complications of the two groups were compared. Results Before treatment,there were no significant differences in NNE, Shimmer and Jitter between the two groups(P >0.05);after treatment, the NNE of the two groups increased, Shimmer and Jitter decreased, and the NNE of the microscopic group was higher than that of the ordinary group, and the Shimmer and Jitter were lower than those of the ordinary group( P <0.05). After treatment, the total effective rate of treatment of bilateral polyps patients in the microscopic group was 97.22%, which was higher than 60.00% in the ordinary group, the total effective rate of treatment of sessile polyps patients in the microscopic group was 96.00%, which was higher than 56.00% in the ordinary group, the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the microscopic group was 4.92%, which was lower than 20.00% in the ordinary group, the difference was statistically significant(P <0.05). Conclusion Microsupport laryngoscope has a significantly effect in the treatment of patients with vocal cord polyps, it can improve the voice function and clinical efficacy, reduce the incidence of complications, with higher safety, which is worthy of clinical promotion and application.
作者
封辉
马晓军
FENG Hui;MA Xiao-jun(Ankang Central Hospital,Ankang 725000,China)
出处
《临床医学研究与实践》
2020年第2期122-124,共3页
Clinical Research and Practice
关键词
声带息肉
显微支撑喉镜手术
嗓音功能
双侧息肉
广基息肉
vocal cord polyp
microsupport laryngoscope
voice function
bilateral polyps
sessile polyps
