支撑喉镜联合鼻内镜下切除声门暴露困难的声带息肉疗效观察
摘要
目的探究支撑喉镜联合鼻内镜下切除声门暴露困难的声带息肉的临床效果。方法按照随机数字表法将2017年1月～2018年5月在我院就诊的76例声门暴露困难的声带息肉患者分为对照组和联合组各38例。对照组患者应用支撑喉镜切除治疗,联合组采用支撑喉镜联合鼻内镜切除治疗。比较两组临床疗效、嗓音电声门图测试情况和并发症发生情况。结果联合组治疗总有效率为97.37%,高于对照组的84.21%,差异有统计学意义(P<0.05);联合组患者的NNE、shimmer及jitter指标水平低于对照组,差异有统计学意义(P<0.05);联合组并发症发生率7.89%(3/38)明显较对照组31.58%(12/38)低,差异有统计学意义(P<0.05)。结论应用支撑喉镜联合鼻内镜下切除声门暴露困难的声带息肉可在一定程度上提高临床治疗效果,降低并发症风险,值得临床推广应用。
引文
[1]马利娟,汤夏冰,魏新民.支撑喉镜联合鼻内镜与纤维喉镜下切除声带息肉临床对比分析[J].现代中西医结合杂志,2017,26(6):608-611.
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[5]任颖川.30°鼻内镜辅助支撑喉镜切除暴露困难的前联合声带息肉疗效分析[J].中国眼耳鼻喉科杂志,2014,14(1):45-46.
[6]秦茂林,刘业海,吴开乐,等.可调式支撑喉镜下声门暴露困难患者的喉显微外科手术[J].听力学及言语疾病杂志,2016,24(2):135-138.
[7]Heather A Osborn,Vinay K Rathi,Tjoson Tjoa,et al.Risk factors for thirty-day readmission following flap reconstruction of oncologic defects of the head and neck[J].The Laryngoscope,2018,128(2):343-349.
[8]夏林,蒋成义,江涛,等.鼻内镜及微型吸切器结合支撑喉镜在声带息肉摘除术中的应用[J].蚌埠医学院学报,2017,42(9):1170-1173.
[2]陈涛,高亚娜.支撑喉镜鼻内镜和纤维喉镜下治疗声带息肉的疗效及安全性比较[J].蚌埠医学院学报,2018,43(3):358-360.
[3]TM Cook,NJ Boniface,C Seller,et al.Universal videolaryngoscopy:a structured approach to conversion to videolaryngoscopy for all intubations in an anaesthetic and intensive care department[J].British journal of anaesthesia,2018,120(1):173-180.
[4]陶治.鼻内镜下应用支气管镜活检钳切除声门暴露极困难的声带息肉[J].听力学及言语疾病杂志,2016,24(3):311-313.
[5]任颖川.30°鼻内镜辅助支撑喉镜切除暴露困难的前联合声带息肉疗效分析[J].中国眼耳鼻喉科杂志,2014,14(1):45-46.
[6]秦茂林,刘业海,吴开乐,等.可调式支撑喉镜下声门暴露困难患者的喉显微外科手术[J].听力学及言语疾病杂志,2016,24(2):135-138.
[7]Heather A Osborn,Vinay K Rathi,Tjoson Tjoa,et al.Risk factors for thirty-day readmission following flap reconstruction of oncologic defects of the head and neck[J].The Laryngoscope,2018,128(2):343-349.
[8]夏林,蒋成义,江涛,等.鼻内镜及微型吸切器结合支撑喉镜在声带息肉摘除术中的应用[J].蚌埠医学院学报,2017,42(9):1170-1173.