摘要
目的探究垂直半喉切除术、支撑喉镜下等离子切除术治疗早期声门型喉癌患者的手术情况及对发音情况的影响。方法方便选取麻城市人民医院2018年6月—2020年6月收治的早期声门型喉癌患者108例作为研究对象,将其分为观察组(54例)和对照组(54例),对照组患者实施垂直半喉切除术治疗,观察组患者采用支撑喉镜下等离子切除术治疗。对比两组患者的手术前后主观嗓音情况,手术后发音功能以及生活质量。结果两组主观嗓音情况、生命质量各评分术前比较,差异无统计学意义(P>0.05),术后两组患者主观嗓音情况各指标均显著降低,且术后观察组患者主观嗓音情况各指标显著低于对照组患者,差异有统计学意义(P<0.05)。术后观察患者的生命质量功能、总体生命质量评分均显著高于术前和对照组,差异有统计学意义(P<0.05),症状评分显著低于术前和对照组患者[(38.43±8.78)分vs(49.65±10.37)分,(38.43±8.78)分vs(42.41±8.42)分],差异有统计学意义(t=8.659、2.405,P<0.05)。结论支撑喉镜下等离子切除术相对于垂直半喉切除术对于早期声门型喉癌患者的效果更佳,对发音功能影响较轻微,产生病理性噪音较小,更有利于患者嗓音功能恢复,还能提高患者生活质量。
Objective To explore the surgical status of vertical hemilaryngectomy and plasma resection under supported laryngoscope in the treatment of patients with early glottic laryngeal carcinoma and its influence on pronunciation.Methods A total of one hundred and eight patients with early glottic laryngeal carcinoma admitted to Macheng People's Hospital from June 2018 to June 2020 were conveniently selected as the research objects and divided into observation group(54 cases)and control group(54 cases).The control group was treated with vertical hemilaryngectomy,and the observation group was treated with plasma resection under supported laryngoscope.The subjective voice condition before and after surgery,the articulation function after surgery and the quality of life between the two groups were compared.Results There were no statistically significant differences in the scores of subjective voice condition and quality of life before surgery between two groups(P>0.05),while the indexes of subjective voice condition in two groups were significantly decreased after surgery,and the indexes of subjective voice in the observation group were significantly lower than those in the control group after surgery,the difference was statistically significant(P<0.05).The quality of life function and overall quality of life score in the observation group after surgery were significantly higher than those before surgery and control group,the difference was statistically significant(P<0.05).Symptom score in the observation group was significantly lower than preoperative and control patients[(38.43±8.78)points vs(49.65±10.37)points,(38.43±8.78)points vs(42.41±8.42)points],the difference was statistically significant(t=8.659,2.405,P<0.05).Conclusion Compared with vertical hemilaryngectomy,plasma resection under supported laryngoscope has better effect on patients with early glottic laryngeal carcinoma.It has slightly influence on the pronunciation function and produces less pathological noise.It is more conducive to the recovery of voice
作者
何国煌
饶青锋
闵敏
HE Guohuang;RAO Qingfeng;MIN Min(Department of Otolaryngology Head and Neck Surgery,Macheng People's Hospital,Macheng,Hubei Province,438300 China)
出处
《中外医疗》
2023年第11期64-67,共4页
China & Foreign Medical Treatment
关键词
早期声门型喉癌
支撑喉镜下等离子切除术
垂直半喉切除术
发音功能
嗓音功能
Early glottic laryngeal carcinoma
Plasma resection under supported laryngoscope
Vertical hemilaryngectomy
Articulatory function
Voice function
