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鼻内镜联合支撑喉镜手术治疗声带息肉的临床效果及其对患者嗓音功能的影响

[Clinical effect of nasal endoscope combined with supporting laryngoscope surgery in the treatment of polyps of vocal cord and its influence on voice function of patients].

作者信息

Zhang H L, Ding H F, Sun W, Huang Z L, Hu Y

机构信息

Department of Otolaryngology,Shenzhen Pingshan People's Hospital,Shenzhen,518000,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Mar;33(3):272-274. doi: 10.13201/j.issn.1001-1781.2019.03.021.

Abstract

To explore the clinical value of nasal endoscope combined with supporting laryngoscope surgery in the treatment of polyps of vocal cord. Ninety-four patients with vocal cord polyps were randomly divided into the control group (47 cases) and the observation group (47 cases). The patients in the control group were treated with simply supporting laryngoscope surgery while the patients in the observation group were treated with nasal endoscope combined with supporting laryngoscope. The therapeutic effects, voice function changes before and after operation, complications and recurrence of the two groups were observed. The total effective rate was 93.62% in the observation group, compared to 78.72% in the control group, the difference was statistically significant (<0.05). The incidence of postoperative complications in the observation group was 8.51%, compared with 25.53% in the control group, the difference was statistically significant (<0.05). Six months after operation, there was no recurrence in the observation group, but the recurrence rate in the control group was 4.26%. There was no significant difference between the two groups (>0.05). 12 months after operation, the recurrence rate of the observation group was 2.13%, compared with 14.89% of the control group, the difference was statistically significant (<0.05). Nasal endoscope combined with supporting laryngoscope for vocal cord polyps has a definite effect and can significantly improve the voice function of patients with high safety and low recurrence rate, which is worthy of promotion..

摘要

探讨鼻内镜联合支撑喉镜手术治疗声带息肉的临床价值。将94例声带息肉患者随机分为对照组(47例)和观察组(47例)。对照组患者采用单纯支撑喉镜手术治疗,观察组患者采用鼻内镜联合支撑喉镜治疗。观察两组的治疗效果、手术前后的嗓音功能变化、并发症及复发情况。观察组总有效率为93.62%,对照组为78.72%,差异有统计学意义(<0.05)。观察组术后并发症发生率为8.51%,对照组为25.53%,差异有统计学意义(<0.05)。术后6个月,观察组无复发,对照组复发率为4.26%,两组差异无统计学意义(>0.05)。术后12个月,观察组复发率为2.13%,对照组为14.89%,差异有统计学意义(<0.05)。鼻内镜联合支撑喉镜治疗声带息肉疗效确切,能显著改善患者嗓音功能,安全性高,复发率低,值得推广。

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