喉部病变CO_2激光术后发生声带粘连的相关因素分析  

Analysis of related factors in vocal cord adhesion after CO_2 laser laryngeal surgery

作　　者：郭明坤[1] 郭艳红[1] 

机构地区：[1]新乡市中心医院耳鼻咽喉科,河南新乡453000

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第2期143-145,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨喉部病变c0：激光术后发生声带粘连的影响因素。方法选择2007年1月-2013年6月我科采用CO2激光治疗124例喉部病变患者作为研究对象，就性别、病变部位、激光功率、术中出血量、喉前联合暴露、手术次数、术后使用雾化时间、术后休声时间、术后呼吸道感染、糖尿病和胃食管反流11个因素，分析其与声带粘连的关系，并用Logistic回归进行多因素分析。结果124例患者中发生声带粘连11例，发生率为8．87％。多因素分析结果表明，病变部位（X2=48．94，P〈0．05）、激光功率（X2=24．229，P〈0．05）与术后发生声带粘连有关。结论喉部病变CO2激光术后发生声带粘连与患者病变部位、激光功率等因素相关。Objective To investigate the relevant factors causing vocal cord adhesion after CO2 laser laryngeal surgery. Methods Clinical data of 124 patients received CO2 laser laryngeal surgery in our department from Jan 2007 to June 2013 were analyzed retrospectively. The factors included patient＇ s gender, disease region, laser power, amount of blood loss, exposure of anterior commissure, number of operation, atomization time after operation, postoperative acoustic leisure time, respiratory tract infection after operation, diabetes mellitus and gastroesophageal reflux. Multivariate stepwise logistic regression model was used for analysis. Results Of 124 cases, vocal cord adhesion occurred in 11 with an occurrence rate of 8. 87%. Multivariate analysis showed that disease region and laser power were correlated to the occurrence of vocal cord adhesion （X2 = 48.94, P 〈 0.05 ;X2 = 24. 229, P 〈 0.05 ）. Conclusion Lesion region of vocal cord and laser power applied may be correlated to the occurrence of vocal cord adhesion after CO2 laser laryngeal surgery.

关 键 词：CO2激光 声带粘连 因素分析 

分 类 号：R739.65[医药卫生—肿瘤]