CAJ | 학술논문

目的观察鼻内镜联合支撑喉镜在喉显微手术中的应用效果.方法将68例喉部病变患者随机分为多镜联用组(34例)和单喉镜组(34例),喉显微组在鼻内镜联合支撑喉镜下进行喉显微手术,单喉镜组仅选择使用在支撑喉镜下进行喉显微手术.比较两组疗效和手术情况.结果多镜联用组总有效率为97.06％,明显高于单喉镜组的85.30％(x2=4.031,P＜0.05)；多镜联用组手术情况和并发症及复发率情况较,均优于单喉镜组(均P＜0.05).结论鼻内镜联合支撑喉镜在喉显微手术中有扩大手术视野范围和增加病灶区清晰度的功能,且具有对患者的创伤性小、少并发症、复发率低、操作简便、精确度高等优点.
목적 관찰비내경연합지탱후경재후현미수술중적응용효과.방법 장68례후부병변환자수궤분위다경련용조(34례)화단후경조(34례),후현미조재비내경연합지탱후경하진행후현미수술,단후경조부선택사용재지탱후경하진행후현미수술.비교량조료효화수술정황.결과 다경련용조총유효솔위97.06％,명현고우단후경조적85.30％(x2=4.031,P＜0.05)；다경련용조수술정황화병발증급복발솔정황교,균우우단후경조(균P＜0.05).결론 비내경연합지탱후경재후현미수술중유확대수술시야범위화증가병조구청석도적공능,차구유대환자적창상성소、소병발증、복발솔저、조작간편、정학도고등우점.
Objective To observe the effect applicated of endoscopic sinus joint laryngoscope in laryngeal microsurgery.Methods 68 patients with laryngeal lesions were randomly divided into the multi-mirror combination group (34 cases) and the single laryngoscope group (34 cases).The multi-mirror combination group was taken with laryngeal microsurgery under endoscopic Joint laryngoscope.The single laryngoscope group was only taken with laryngeal microsurgery under laryngoscope.The efficacy and surgical situation of the two groups were compared.Results The total effective rate of the multi-mirror combination group was 97.06％,which was significantly higher than that of the single-laryngoscope group (85.30％) (x2 =4.031,P ＜ 0.05).Compared with the case of surgery and complications and recurrence rate,the multi-mirror combination group was superior to the single laryngoscope group (all P ＜ 0.05).Conclusion The endoscopic joint laryngoscope has the function of expanding the scope of the operative field and increasing the focus and clarity,and also has the advantages of small traumatic for patients,fewer complications,low recurrence rate,easy operation and high accuracy.