支撑喉镜临床疗效以及术后咽痛、异物感病因分析及治疗体会  

Treatment effectsfiberoptic retaininglaryngoscope on throat benign lesions and cause analysis and treatment of postoperative Hyoid syndrome

作　　者：肖涛 

机构地区：[1]重庆市垫江县人民医院耳鼻喉科,重庆垫江408300

出　　处：《四川医学》2012年第11期1997-1999,共3页Sichuan Medical Journal

摘　　要：目的统计分析支撑喉镜手术治疗咽喉部良性病变的临床效果以及术后并发症,探讨其相关并发症的防治方法,为临床治疗提供理论参考。方法收集2007年1月～2011年1月4年中我院耳鼻喉科行支撑喉镜手术的患者病历资料568例,统计分析其临床效果以及术后并发症发生率,泼尼松+利多卡因局部封闭治疗支撑喉镜术后舌骨综合征,并统计分析其疗效。结果 568例患者中临床治愈412例(72.5%),好转90例(15.9%),无效66例(11.6%),总有效率为88.4%。术后声带粘连18例(3.17%),软腭擦伤和粘膜下淤血14例(2.46%),牙齿松动或者脱落12例(2.11%);咽痛、异物感等舌骨综合征13例(2.29%)。泼尼松+利多卡因局部封闭治疗显效8例(61.5%),有效3例(23.1),无效2例(15.4%),总有效率为84.6%。结论支撑喉镜治疗咽喉部良性肿物临床疗效显著,不良反应率低,泼尼松+利多卡因局部封闭治疗支撑喉镜术后的舌骨综合征炎可以取得较好的疗效,值得临床推广应用。Objective To investigate the effects of fiberoptic retaininglaryngoscope on throat benign lesions,analyze the cause of postoperative Hyoid syndrome,and to explore treatment of postoperative Hyoid syndrome.Methods A total of 568 patients with throat benign lesions underwent fiberoptic retaininglaryngoscope were enrolled in this study.The clinical effects and postoperative complications were analyzed.Prednisone combined with lidocaine was used to treat postoperative hyoid syndrome,and its efficacy was also statistical analyzed.Results In 568 patients,412 cases(72.5%) was clinical cure,90 cases(15.9%) was effective,and 66 cases(11.6%) was ineffective.A total effective rate was 88.4%.Postoperative complications were show below: vocal cords adhesions 18 cases(3.17%),soft palate scratches and submucosal congestion in 14 cases(2.46%),teeth loose or shedding 12 cases(2.11%),hyoid syndrome 13 cases(2.29%).After treated with prednisone and lidocaine,8 cases(61.5%) was markedly effective,3 cases(23.1) was effective,and 2 cases(15.4%) was ineffective,with a total effective rate of 84.6%.Conclusion Fiberoptic retaininglaryngoscope can effectively be used in throat benign tumor with significant clinical efficacy and lowly adverse reactions.Prednisone combined with lidocaine can effectively treat postoperative Hyoid syndrome.Which was worthy to promote the clinical application.

关 键 词：支撑喉镜手术 咽喉良性病变 舌骨综合征 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]