支撑喉镜联合鼻内镜下声带良性增生性病变切除术疗效分析
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摘要
目的探讨支撑喉镜联合鼻内镜下声带良性增生性病变切除术的临床疗效。方法方便抽取于2013年1月—2016年5月至该院就诊的声带良性增生性病变患者40例作为该次的研究对象,依照入院的次序进行分组,其中对常规组单纯采取支撑喉镜下给予声带病变切除术治疗,对实验组采取支撑喉镜联合鼻内镜下给予声带病变切除术治疗,对比两组的治疗效果。结果实验组与常规组的治疗总有效率分别为95.00%与90.00%(χ~2=0.360 4,P=0.548 0);随访6个月得知,实验组与常规组的复发率分别为10.00%与15.00%(χ~2=0.228 6,P=0.633 0);实验组与常规组的治疗满意度分别为95.00%与90.00%(χ~2=0.360 4,P=0.548 0)。结论对声带良性增生性病变患者采取支撑喉镜联合鼻内镜下切除术进行治疗的效果显著,便于提高临床疗效,降低疾病复发率,改善患者生存质量。
Objective To study the clinical curative effect of self-retaining laryngoscope and nasal endoscopic benign vocal hyperplasic lesion excision. Methods 40 cases of patients with benign vocal hyperplasic lesion diagnosed in our hospital from January 2013 to May 2016 were convenient selected as the research objects and divided into groups according to the admission order, the routine group were treated with simple self-retaining laryngoscope benign vocal hyperplasic lesion excision, while the experimental group were treated with self-retaining laryngoscope and nasal endoscopic benign vocal hyperplasic lesion excision, and the treatment effect was compared between the two groups. Results The total treatment effective rate in the experimental group and in the routine group was respectively 95.00%, 90.00%(χ~2=0.360 4,P=0.548 0), and the 6-month follow-up showed that the recurrence rate in the experimental group and in the routine group was respectively10.00%, 15.00%(χ~2=0.228 6,P=0.633 0), and the treatment satisfactory degree in the experimental group and in the routine group was respectively 95.00%, 90.00%(χ~2=0.360 4,P=0.548 0). Conclusion The effect of self-retaining laryngoscope and Nasal endoscopic Benign Vocal Hyperplasic lesion excision is obvious, which is conducive to improving the clinical curative effect, reducing the recurrence rate of diseases and improving the survival quality of patients.
Objective To study the clinical curative effect of self-retaining laryngoscope and nasal endoscopic benign vocal hyperplasic lesion excision. Methods 40 cases of patients with benign vocal hyperplasic lesion diagnosed in our hospital from January 2013 to May 2016 were convenient selected as the research objects and divided into groups according to the admission order, the routine group were treated with simple self-retaining laryngoscope benign vocal hyperplasic lesion excision, while the experimental group were treated with self-retaining laryngoscope and nasal endoscopic benign vocal hyperplasic lesion excision, and the treatment effect was compared between the two groups. Results The total treatment effective rate in the experimental group and in the routine group was respectively 95.00%, 90.00%(χ~2=0.360 4,P=0.548 0), and the 6-month follow-up showed that the recurrence rate in the experimental group and in the routine group was respectively10.00%, 15.00%(χ~2=0.228 6,P=0.633 0), and the treatment satisfactory degree in the experimental group and in the routine group was respectively 95.00%, 90.00%(χ~2=0.360 4,P=0.548 0). Conclusion The effect of self-retaining laryngoscope and Nasal endoscopic Benign Vocal Hyperplasic lesion excision is obvious, which is conducive to improving the clinical curative effect, reducing the recurrence rate of diseases and improving the survival quality of patients.
引文
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[5]何庆维,邱书奇.纤维喉镜下摘除并结合布地奈德雾化治疗声带息肉的临床疗效分析[J].中国耳鼻咽喉颅底外科杂志,2015,21(5):427-428.
[6]王奕鸿,吴文璎,秦照军,等.显微喉镜下CO2激光联合冷器械治疗声带任克水肿的临床分析[J].江苏医药,2015,41(9):1097-1098.
[7]Akbulut Sevtap,Altintas Hande,Oguz Haldun,et al.Videolar yngostroboscopy versus microlaryngoscopy for the diagnosis of benign vocal cord lesions:a prospective clinical study[J].European archives of oto-rhino-laryngology:Official journal of the European Federation of Oto-Rhino-Laryngological Societies(EUFOS),2015,272(1):131-136.
[8]张丽,陈金湘.声带突肉芽肿的抑酸药物治疗[J].中国耳鼻咽喉头颈外科,2016,23(7):419-420.
[2]李强.支撑喉镜下喉显微手术治疗声带息肉患者的疗效评价[J].实用临床医药杂志,2013,17(21):195-196.
[3]Mallur PS,Johns MM,Amin MR,et al.Proposed classifi cation system for reporting 532-nm pulsed potassium titanyl phosphate laser treatment effects on vocal fold lesions[J].The Laryngoscope:A Medical Journal for Clinical and Research Contributions in Otolaryngology,Head and Neck Medicine and Surgery,Facial Plastic and Reconstructive Surgery,2014,124(5):1170-1175.
[4]李素梅.难治性声带良性增生性病变的围手术期个体化综合治疗[J].安徽医学,2012,33(7):838-840.
[5]何庆维,邱书奇.纤维喉镜下摘除并结合布地奈德雾化治疗声带息肉的临床疗效分析[J].中国耳鼻咽喉颅底外科杂志,2015,21(5):427-428.
[6]王奕鸿,吴文璎,秦照军,等.显微喉镜下CO2激光联合冷器械治疗声带任克水肿的临床分析[J].江苏医药,2015,41(9):1097-1098.
[7]Akbulut Sevtap,Altintas Hande,Oguz Haldun,et al.Videolar yngostroboscopy versus microlaryngoscopy for the diagnosis of benign vocal cord lesions:a prospective clinical study[J].European archives of oto-rhino-laryngology:Official journal of the European Federation of Oto-Rhino-Laryngological Societies(EUFOS),2015,272(1):131-136.
[8]张丽,陈金湘.声带突肉芽肿的抑酸药物治疗[J].中国耳鼻咽喉头颈外科,2016,23(7):419-420.