喉镜联合鼻内窥镜及单纯支撑喉镜治疗声带息肉的临床疗效对比.pdf

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1、·五官医学·中国现代医生2015年4月第53卷第10期喉镜联合鼻内窥镜及单纯支撑喉镜治疗声带息肉的临床疗效对比傅寅金涌z1．浙江省衢州市人民医院耳鼻咽喉科，浙江衢州324000；2．浙江省台州市立医院耳鼻咽喉科，浙江台州318000【摘要】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

2、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PO．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。【关键词】声带息肉；鼻内窥镜；单纯支撑喉镜【中图分类号】R76[文献标识码】B[文章编号】1673—9701(2015)10—0068—03Clinicalefectsoflaryngoscopecombinedwithnasalendoscopeandpure

3、self-retaininglaryngoscopeforpatientswithvocalcordpolypsFUYinlJINYon1．E．N．TDepartment，QuzhouPeopleSHospital，Quzhou324000，China；2．E．N．T．Department，TaizhouMunicipalHos—pital，Taizhou318000，China【Abstract】ObjectiveToexploretheclinicaleffectsofsurgicalproceduresoflaryngoscopecombinedwithnasalendo—sc

4、opeandpureself-retaininglaryngoscopeforpatientswithvocalcordpolyps．Methods300patientswithvocalc0rdpolypswhoweretreatedinourhospitalweredividedinto150patientsofpureself-retaininglaryngoscope(controlgroup)and150patientsoflaryngoscopecombinedwithnasalendoscope(experimentgroup)accordingtodifferents

5、ur—gicalprocedures．Curativeeffectsandcomplicationsbetweenthetwogroupswerecomparedandanalyzed．ResultsTo—taleffectiverateintheexperimentgroupwas97．33％，andtheeffectiverateofsessilepolypswas97．62％，bothsig-nificantlyhigherthanthoseof85．33％and80．46％inthecontrolgrouprespectively；Tota1incidenceofcompli

6、cationsintheexperimentgroupwas4．00％，significantlylowerthanthatof10．67％inthecontrolgroup；Surgicaltimeandhospitalizationtimeintheexperimentgroupweresignificantlyshorterthanthoseinthecontrolgroup，andthediffer—enceswerestatisticallysignificant(P<0．05)．Curativeeffectsofthetreatmentofpediclepolypsint

7、hetwogroupswerenotsignificantlydifferent，andthedifferencewasnotstatisticallysignificant(P>O．05)．ConclusionLaryngoscopecombinedwithnasalendoscopeinthetreatmentofvocalcordpolypshaseffectsofeasyoperation，clearview，com—pleteclearanceo