中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
68-70,75
,共4页
声带息肉%鼻内窥镜%单纯支撑喉镜
聲帶息肉%鼻內窺鏡%單純支撐喉鏡
성대식육%비내규경%단순지탱후경
Vocal cord polyps%Nasal endoscope%Pure self-retaining laryngoscope
目的：探讨喉镜联合鼻内窥镜与单纯支撑喉镜手术治疗声带息肉的疗效。方法选择在我院治疗的声带息肉患者300例，依据不同的实施方案分为单纯支撑喉镜150例（对照组），喉镜联合鼻内窥镜150例（实验组），对比分析两组的疗效及并发症情况。结果实验组的总有效率为97.33%，广基息肉的有效率为97.62%，均显著高于对照组的85.33%，80.46%；实验组的并发症发生率为4.00%，明显低于对照组的10.67%；且实验组的手术时间与住院时间明显短于对照组，差异均有统计学意义（均P<0.05）。而对带蒂息肉的治疗，两组疗效比较，差异无统计学意义（P>0.05）。结论喉镜联合鼻内窥镜治疗声带息肉具有操作简便，视野清晰，病变组织清除彻底，精确度高，并发率低且安全有效等特点，值得临床推广。
目的：探討喉鏡聯閤鼻內窺鏡與單純支撐喉鏡手術治療聲帶息肉的療效。方法選擇在我院治療的聲帶息肉患者300例，依據不同的實施方案分為單純支撐喉鏡150例（對照組），喉鏡聯閤鼻內窺鏡150例（實驗組），對比分析兩組的療效及併髮癥情況。結果實驗組的總有效率為97.33%，廣基息肉的有效率為97.62%，均顯著高于對照組的85.33%，80.46%；實驗組的併髮癥髮生率為4.00%，明顯低于對照組的10.67%；且實驗組的手術時間與住院時間明顯短于對照組，差異均有統計學意義（均P<0.05）。而對帶蒂息肉的治療，兩組療效比較，差異無統計學意義（P>0.05）。結論喉鏡聯閤鼻內窺鏡治療聲帶息肉具有操作簡便，視野清晰，病變組織清除徹底，精確度高，併髮率低且安全有效等特點，值得臨床推廣。
목적：탐토후경연합비내규경여단순지탱후경수술치료성대식육적료효。방법선택재아원치료적성대식육환자300례，의거불동적실시방안분위단순지탱후경150례（대조조），후경연합비내규경150례（실험조），대비분석량조적료효급병발증정황。결과실험조적총유효솔위97.33%，엄기식육적유효솔위97.62%，균현저고우대조조적85.33%，80.46%；실험조적병발증발생솔위4.00%，명현저우대조조적10.67%；차실험조적수술시간여주원시간명현단우대조조，차이균유통계학의의（균P<0.05）。이대대체식육적치료，량조료효비교，차이무통계학의의（P>0.05）。결론후경연합비내규경치료성대식육구유조작간편，시야청석，병변조직청제철저，정학도고，병발솔저차안전유효등특점，치득림상추엄。
Objective To explore the clinical effects of surgical procedures of laryngoscope combined with nasal endo-scope and pure self-retaining laryngoscope for patients with vocal cord polyps. Methods 300 patients with vocal cord polyps who were treated in our hospital were divided into 150 patients of pure self-retaining laryngoscope (control group)and 150 patients of laryngoscope combined with nasal endoscope(experiment group)according to different sur-gical procedures. Curative effects and complications between the two groups were compared and analyzed. Results To-tal effective rate in the experiment group was 97.33%, and the effective rate of sessile polyps was 97.62%, both sig-nificantly higher than those of 85.33% and 80.46% in the control group respectively;Total incidence of complications in the experiment group was 4.00%, significantly lower than that of 10.67% in the control group; Surgical time and hospitalization time in the experiment group were significantly shorter than those in the control group, and the differ-ences were statistically significant (P<0.05). Curative effects of the treatment of pedicle polyps in the two groups were not significantly different, and the difference was not statistically significant (P>0.05). Conclusion Laryngoscope combined with nasal endoscope in the treatment of vocal cord polyps has effects of easy operation, clear view, com-plete clearance of lesions,high accuracy and low incidence of complications,which is worthy of clinical promotion.
