实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2015年
6期
868-870
,共3页
支撑喉镜%电子喉镜%射频%早期声门癌
支撐喉鏡%電子喉鏡%射頻%早期聲門癌
지탱후경%전자후경%사빈%조기성문암
Laryngoscope%Electronic laryngoscope%Radio frequency%Early glottic carcinoma
目的：探讨全麻支撑喉镜联合电子喉镜行射频揭盖术治疗早期声门癌的临床效果。方法80例会厌囊肿患者随机分为观察组与对照组，每组40例。观察组采用射频＋切除＋射频的手术方法，对照组采用单纯的手术进行治疗。对比2组患者的嗓音学参数，手术时间，术中出血量，治愈率和术后复发率。结果嗓音学参数结果显示观察组患者的振幅微扰，基频微扰，标准规范化噪声能量，和谐噪比的嗓音学参数显著优于对照组，差异有统计学意义（P ＜0．05），基频的差异无统计学意义（P ＞0．05）。观察组患者的手术时间（101．7±12．2）min 和术中出血量（9．0±2．3）mL均显著低于对照组（135．4±12．6）min 与（14．6±3．1）ml，差异具有统计学意义（P ＜0．05）。术后3个月在支撑喉镜下检查创面均基本愈合，患者声带运动正常，发声较好。观察组患者的3年复发率为2．5％，显著低于对照组的17．5％；5年复发率为12．5％，显著低于对照组的37．5％，差异均具有统计学意义（P ＜0．05）。3年生存率和5年生存率2组差异无统计学意义（P ＞0．05）。结论全麻支撑喉镜联合电子喉镜行射频揭盖术治疗早期声门癌手术时间短，嗓音损伤小，出血量少，复发率低，值得临床推广。
目的：探討全痳支撐喉鏡聯閤電子喉鏡行射頻揭蓋術治療早期聲門癌的臨床效果。方法80例會厭囊腫患者隨機分為觀察組與對照組，每組40例。觀察組採用射頻＋切除＋射頻的手術方法，對照組採用單純的手術進行治療。對比2組患者的嗓音學參數，手術時間，術中齣血量，治愈率和術後複髮率。結果嗓音學參數結果顯示觀察組患者的振幅微擾，基頻微擾，標準規範化譟聲能量，和諧譟比的嗓音學參數顯著優于對照組，差異有統計學意義（P ＜0．05），基頻的差異無統計學意義（P ＞0．05）。觀察組患者的手術時間（101．7±12．2）min 和術中齣血量（9．0±2．3）mL均顯著低于對照組（135．4±12．6）min 與（14．6±3．1）ml，差異具有統計學意義（P ＜0．05）。術後3箇月在支撐喉鏡下檢查創麵均基本愈閤，患者聲帶運動正常，髮聲較好。觀察組患者的3年複髮率為2．5％，顯著低于對照組的17．5％；5年複髮率為12．5％，顯著低于對照組的37．5％，差異均具有統計學意義（P ＜0．05）。3年生存率和5年生存率2組差異無統計學意義（P ＞0．05）。結論全痳支撐喉鏡聯閤電子喉鏡行射頻揭蓋術治療早期聲門癌手術時間短，嗓音損傷小，齣血量少，複髮率低，值得臨床推廣。
목적：탐토전마지탱후경연합전자후경행사빈게개술치료조기성문암적림상효과。방법80례회염낭종환자수궤분위관찰조여대조조，매조40례。관찰조채용사빈＋절제＋사빈적수술방법，대조조채용단순적수술진행치료。대비2조환자적상음학삼수，수술시간，술중출혈량，치유솔화술후복발솔。결과상음학삼수결과현시관찰조환자적진폭미우，기빈미우，표준규범화조성능량，화해조비적상음학삼수현저우우대조조，차이유통계학의의（P ＜0．05），기빈적차이무통계학의의（P ＞0．05）。관찰조환자적수술시간（101．7±12．2）min 화술중출혈량（9．0±2．3）mL균현저저우대조조（135．4±12．6）min 여（14．6±3．1）ml，차이구유통계학의의（P ＜0．05）。술후3개월재지탱후경하검사창면균기본유합，환자성대운동정상，발성교호。관찰조환자적3년복발솔위2．5％，현저저우대조조적17．5％；5년복발솔위12．5％，현저저우대조조적37．5％，차이균구유통계학의의（P ＜0．05）。3년생존솔화5년생존솔2조차이무통계학의의（P ＞0．05）。결론전마지탱후경연합전자후경행사빈게개술치료조기성문암수술시간단，상음손상소，출혈량소，복발솔저，치득림상추엄。
Objective To explore the clinical efficacy of anesthesia laryngoscope combined with electronic laryngoscope in radio frequency(RF) for early glottic carcinoma.Methods 80 cases of epiglottic cysts were randomly divided into the obser -vation group and the control group ,each with 40 cases.The observation group received RF +resection +RF,the control group received simple resection treatment .Voice parameters,operation time,intraoperative blood loss,postoperative recurrence rates and cure rates of the 2 groups were compared.Results Voice parameters showed that amplitude perturbation ,jitter,standard normal-ized noise energy,voice harmonious noise ratio parameters in the observation group were significantly better than those of the con -trol group,the difference was statistically significant (P <0.05),there had no significant differences in the fundamental frequency (P >0.05).The operation time(101.7 ±12.2)min and the amount of bleeding (9.0 ±2.3)mL in the observation group was significantly lower than those of the control group (135.4 ±12.6)min and (14.6 ±3.1)mL,the difference was statistically sig-nificant (P <0.05).3 months after surgery under laryngoscope wound was healed ,vocal cord movement was normal ,sound was good.3-year recurrence rate in the observation group was 2.5%,which was significantly lower than that of the control group 17.5%,5-year recurrence rate was 12.5%,which was significantly lower than that of the control group 37.5%,there had signifi-cant difference (P <0.05),there had no significant difference in the 3-year survival rate and 5-year survival rate between the groups(P >0.05).Conclusion Anesthesia laryngoscope combined with electronic laryngoscope RF marsupialization for early glottic carcinoma has shorter operation time ,smaller voice injury,less bleeding,and low recurrence rate,it is worthy of clinical ap-plication.
