摘要
目的探讨支撑喉镜联合鼻内镜切除术治疗声带息肉的临床效果。方法抽取2017年3月至2019年2月在濮阳市油田总医院接受住院治疗的确诊为声带息肉患者180例。根据手术方式不同分为电子鼻咽镜下切除术组78例和支撑喉镜联合鼻内镜切除术组102例。比较两组患者的疗效、术后并发症情况、喉部发声功能恢复的情况及复发情况。结果术后4周评估,电子鼻咽镜下切除术组总有效率为79.5%,支撑喉镜联合鼻内镜切除术组总有效率为98.0%。支撑喉镜联合鼻内镜切除术组总有效率高于电子鼻咽镜下切除术组,差异有统计学意义(P<0.01)。电子鼻咽镜下切除术组术后并发症发生率为12.8%,支撑喉镜联合鼻内镜切除术组术后并发症发生率为3.9%。支撑喉镜联合鼻内镜切除术组术后并发症发生率低于电子鼻咽镜下切除术组,差异有统计学意义(P<0.05)。术前电子鼻咽镜下切除术组与支撑喉镜联合鼻内镜切除术组振幅微扰、噪声能量、基频微扰比较,差异未见统计学意义(P>0.05);与术前比较,术后4周电子鼻咽镜下切除术组与支撑喉镜联合鼻内镜切除术组振幅微扰、噪声能量、基频微扰均降低,差异有统计学意义(P<0.05);术后4周,与电子鼻咽镜下切除术组比较,支撑喉镜联合鼻内镜切除术组振幅微扰、噪声能量、基频微扰均降低,差异有统计学意义(P<0.05)。随访1年,电子鼻咽镜下切除术组患者复发5例,复发率为6.4%;支撑喉镜联合鼻内镜切除术组患者复发2例,复发率为2.0%,两组复发率比较差异未见统计学意义(P>0.05)。结论支撑喉镜联合鼻内镜切除术治疗声带息肉具有疗效好、并发症发生率低、复发率低、喉部发声功能恢复快等优点,值得临床推广应用。
Objective To investigate the clinical effect of support laryngoscope combined with endoscopic sinus resection in the treatment of vocal cord polyps.Methods A total of 180 patients with vocal cord polyps who were hospitalized in Puyang Oilfield General Hospital from March 2017 to February 2019 were selected.According to the different surgical methods,they were divided into resection under video nasopharyngoscope group(78 cases)and support laryngoscope combined with endoscopic sinus resection group(102 cases).The curative effect,postoperative complications,recovery of vocal function of the larynx and recurrence were compared between the two groups.Results After 4 weeks of evaluation,the total effective rate of resection under video nasopharyngoscope group was 79.5%,and the total effective rate of support laryngoscope combined with endoscopic sinus resection group was 98.0%.The total effective rate of support laryngoscope combined with endoscopic sinus resection group was higher than that of resection under video nasopharyngoscope group(P<0.01).The postoperative complication rate of resection under video nasopharyngoscope group was 12.8%,and that of support laryngoscope combined with endoscopic sinus resection group was 3.9%.The postoperative complication rate of support laryngoscope combined with endoscopic sinus resection group was lower than that of resection under video nasopharyngoscope group(P<0.05).Before surgery,there was no significant difference in amplitude perturbation,noise energy,and fundamental frequency perturbation between the resection under video nasopharyngoscope group and the support laryngoscope combined with endoscopic sinus resection group(P>0.05);after 4 weeks treatment,the amplitude perturbation,noise energy,and fundamental frequency perturbation of resection under video nasopharyngoscope group and support laryngoscope combined with endoscopic sinus resection group were significantly reduced(P<0.05);after 4 weeks of treatment,the amplitude perturbation,noise energy,and fundamental frequency perturbation of the support laryngoscope combined with endoscopic sinus resection group were significantly reduced compared with resection under video nasopharyngoscope group(P<0.05).Followed up for 1 year,5 patients in resection under video nasopharyngoscope group had recurrences,with a recurrence rate of 6.4%;2 patients in support laryngoscope combined with endoscopic sinus resection group had recurrences,with a recurrence rate of 2.0%,there was no difference in the recurrence rate between the two groups(P>0.05).Conclusions Support laryngoscope combined with endoscopic sinus resection in the treatment of vocal cord polyps has the advantages of good curative effect,low complication rate,low recurrence rate,and quick recovery of vocal function of the larynx.It is worthy of clinical application.
作者
刘敏
Liu Min(Department of Otorhinolaryngology,Puyang Oilfield General Hospital,Puyang 457001,China)
出处
《中国实用医刊》
2021年第4期65-68,共4页
Chinese Journal of Practical Medicine
关键词
声带息肉
支撑喉镜
鼻内镜切除术
Vocal cord polyp
Support laryngoscope
Endoscopic sinus resection
