低温等离子射频消融治疗双侧声带麻痹的疗效分析  

Research on effect of laryngoscope unilateral vocal low temperature plasma radiofrequency ablation on patients with Bilateral vocal cord paralysis

作　　者：阙镇如[1] 蔡继壹[1] 冉骞[1] 张智斌[1] 黄钦辉[1] 

机构地区：[1]解放军第180医院耳鼻咽喉科,福建泉州362008

出　　处：《中国医学装备》2016年第1期87-90,共4页China Medical Equipment

摘　　要：目的:分析支撑喉镜下单侧杓状软骨联合声带后部低温等离子射频消融治疗双侧声带麻痹的临床疗效。方法:选取108例接受住院治疗的双侧声带麻痹患者,按照随机数表法将其分为观察组与对照组,每组54例。观察组接受支撑喉镜下单侧杓状软骨联合声带后部低温等离子射频消融治疗,对照组接受声带外移固定术治疗,比较两组患者的声门测量水平、嗓音质量及术后并发症发生率等差异。结果:1观察组患者接受治疗后的声门面积及声门后横径均明显大于对照组患者,嗓音质量评分高于对照组患者(t=7.183,t=6.893;t=6.385;P<0.05);2观察组患者接受治疗后的嗓音质量平均值低于对照组,且嗓音质量改善及无变化者比例显著高于对照组患者(x^2=7.385,x^2=5.284;P<0.05);3观察组患者接受治疗后的出血、味觉障碍、局部肉芽增生以及瘢痕挛缩等并发症发生率均明显低于对照组患者(x^2=7.394,x^2=5.294,x^2=5.294,x^2=4.993;P<0.05)。结论:支撑喉镜下单侧杓状软骨联合声带后部低温等离子射频消融可以有效治疗双侧声带麻痹,且安全性良好。Objective： To analysis effect of laryngoscope unilateral vocal low temperature plasma radiofrequency ablation on patients with bilateral vocal cord paralysis. Methods： Chosen 108 patients with bilateral vocal cord paralysis between June 2012 to June 2014 in our hospital as research object, according to random indicator method divided into observation group（54 cases） received laryngoscope unilateral vocal low temperature plasma radiofrequency ablation and control group（54 cases） received off shoring vocal cord fixation treatment, compared glottis measurement level, incidence of postoperative complications, voice quality. Results： 1）observation group patients glottis area and glottis diameter were significantly greater than control group patients（t=7.183, t=6.893, t=6.385; P0.05）; 2）observation group patients＇ average voice quality was lower than control group, voice quality improvement and no change ratio were significantly higher than control group patients（x^2=7.385, x^2=5.284; P0.05）; 3）observation group patients bleeding, taste disorders, partial granulation hyperplasia, scar contracture and other complications were significantly lower than control group patients（x^2=7.394, x^2=5.294, x^2=5.234, x^2=4.993; P0.05）. Conclusion： Laryngoscope unilateral vocal Low temperature plasma radiofrequency ablation could be effective in the treatment of bilateral vocal cord paralysis, and good security.

关 键 词：双侧声带麻痹 低温等离子射频消融 支撑喉镜 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]