CAJ | 학술논문

目的：探讨电子喉镜在咽喉部异物诊断和治疗的应用。方法回顾性分析咽喉部异物6713例，其中传统方式诊断咽喉部异物3331例，并成功治疗2898例，电子喉镜诊断咽喉部异物1475例，并成功治疗1473例。统计异物在咽喉各部位概率及尖锐异物和非尖锐异物的诊断率。比较电子喉镜和传统方式治疗咽喉各部位异物的成功率。结果电子喉镜相比传统方式可以显著提高咽喉部尖锐异物的诊断率，差异有统计学意义（P＜0．05），对非尖锐异物诊断率稍有提高，差异无统计学意义（P＞0．05）。咽喉部尖锐异物的诊断率均显著高于非尖锐异物（P＜0．05）。传统方式下咽喉部异物成功取出比例为87．00％，电子喉镜下咽喉部异物成功取出比例为99．86％。结论电子喉镜诊断和治疗咽喉部异物比传统方式有明显优势，具有照明充分、定位准确、操作精确的特点，是治疗咽喉部异物方便、快捷、有效的方法。
목적：탐토전자후경재인후부이물진단화치료적응용。방법회고성분석인후부이물6713례，기중전통방식진단인후부이물3331례，병성공치료2898례，전자후경진단인후부이물1475례，병성공치료1473례。통계이물재인후각부위개솔급첨예이물화비첨예이물적진단솔。비교전자후경화전통방식치료인후각부위이물적성공솔。결과전자후경상비전통방식가이현저제고인후부첨예이물적진단솔，차이유통계학의의（P＜0．05），대비첨예이물진단솔초유제고，차이무통계학의의（P＞0．05）。인후부첨예이물적진단솔균현저고우비첨예이물（P＜0．05）。전통방식하인후부이물성공취출비례위87．00％，전자후경하인후부이물성공취출비례위99．86％。결론전자후경진단화치료인후부이물비전통방식유명현우세，구유조명충분、정위준학、조작정학적특점，시치료인후부이물방편、쾌첩、유효적방법。
Objective To investigate the application of electronic laryngoscope in diagnosis and treatment of foreign body in the laryngopharynx .Methods A retrospective analysis was conducted in 6713 patients with laryngopharyngeal foreign body ,3331 of which were diagnosed and 2898 were treated successfully by traditional way .1475 of which were diagnosed and 1473 were treated suc-cessfully under electronic laryngoscope .Count probability of foreign body in various parts of the laryngopharynx and sharp or non -sharp foreign body related diagnosis rate .The success rate of treating various parts of foreign body in the laryngopharynx by using electronic la -ryngoscope and traditional way was compared .Results Compared to the traditional way ,treating under electronic laryngoscope can sig-nificantly improve the diagnostic rate in laryngopharyngeal sharp foreign body (P<0.05),but there was no significance in treating la-ryngopharyngeal non-sharp foreign body (P>0.05).Related diagnostic rate of laryngopharyngeal sharp foreign body was significantly higher than the non-sharp foreign body (P<0.05).Laryngopharyngeal foreign body successfully removed ratio by traditional way was 87.00%,while under the electronic laryngoscope was 99.86%.Conclusion Electronic laryngoscope with lighting sufficient ,accurate positioning and precise operation has obvious advantages over the traditional way in the diagnosis and treatment of laryngopharyngeal foreign body .The treatment of foreign body in the laryngopharynx under electronic laryngoscope is convenient ,fast and effective .