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[两种声带囊肿手术技术的效果]

[Effects of two surgical techniques for vocal cord cyst].

作者信息

Huang Yideng, Xia Siwen, Chen Jianfu, Huang Zixi, Luo Chunjuan, Chen Fang

机构信息

Department of Otolaryngology, the 118th Hospital of PLA, Wenzhou, 325000, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Feb;23(3):119-21.

Abstract

OBJECTIVE

To compare the effectiveness of vocal cord cyst excision with electronic laryngoscope (EL) and self-retaining laryngoscope (SRM).

METHOD

Nightly-two patients, diagnosed as vocal cord cyst with strobolaryngoscope or electronic laryngoscope, were randomly divided into two groups. One group was 48 cases treated with electronic laryngoscope and another group was 44 cases treated with self-retaining laryngoscope. Electronic laryngoscopy examination and voice function assessments were performed to all patients, preoperatively and postoperatively at one week, three months and six months.

RESULT

One failed cases under SRM, difficult exposure of glottic portion, were treated under EL. The recurrence rate of the two groups was of no statistical significance in three months after operation. Voice function assessment of the two groups was of no statistical significance at one week, three months and six months after operation.

CONCLUSION

The operation under electronic laryngoscope is a minimal invasive procedure to the laryngeal mucosa. Electronic laryngoscope had advantages such as clear view, accurate operation. Furthermore, it can be used for those that could not be treated under self-retaining laryngoscope.

摘要

目的

比较电子喉镜(EL)与支撑喉镜(SRM)下声带囊肿切除术的疗效。

方法

将频闪喉镜或电子喉镜诊断为声带囊肿的102例患者随机分为两组。一组48例采用电子喉镜治疗,另一组44例采用支撑喉镜治疗。对所有患者在术前、术后1周、3个月和6个月进行电子喉镜检查及嗓音功能评估。

结果

支撑喉镜下有1例声门暴露困难失败病例,改行电子喉镜下手术。术后3个月两组复发率差异无统计学意义。术后1周、3个月和6个月两组嗓音功能评估差异无统计学意义。

结论

电子喉镜下手术对喉黏膜损伤小,视野清晰、操作准确,且可用于支撑喉镜下无法处理的病例。

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