探究鼻内镜联合支撑喉镜切除声门暴露困难的声带息肉的疗效  

Exploration on curative effect of nasal endoscope combined with self-retaining laryngoscope in resection of vocal cord polyps of difficult laryngeal exposure

作　　者：陈锦贤[1] 陈展胜 陈伟龙[1] CHEN Jin-xian CHEN Zhan-sheng CHEN Wei-long.(Shantou City Chenghai District People＇ s Hospital, Shantou 515800, China)

机构地区：[1]汕头市澄海区人民医院,515800

出　　处：《中国实用医药》2017年第7期15-17,共3页China Practical Medicine

摘　　要：目的分析鼻内镜联合支撑喉镜切除声门暴露困难的声带息肉的临床疗效。方法 42例声门暴露困难的声带息肉患者,依据其治疗方法的差异性分为观察组和对照组,每组21例。对照组应用支撑喉镜进行治疗,观察组在此基础上联合鼻内镜进行治疗。分析两组患者的临床疗效。结果经治疗后,观察组总有效率为95.24%,高于对照组的71.43%,差异具有统计学意义(P<0.05)。观察组并发症发生率为14.29%,低于对照组的57.14%,差异具有统计学意义(P<0.05)。结论声门暴露困难的声带息肉患者应选择鼻内镜联合支撑喉镜切除,此方法疗效确切,具有临床应用价值。Objective To analyze the clinical curative effect of nasal endoscope combined with selfretaining laryngoscope in resection of vocal cord polyps of difficult laryngeal exposure. Methods A total of 42 vocal cord polyps patients with difficult laryngeal exposure were divided by different treatment methods in to observation group and control group, with 21 cases in each group. The control group received self-retaining laryngoscope for treatment, and the observation group received nasal endoscope combined with self-retaining laryngoscope for treatment. Clinical curative effect was analyzed in two groups. Results After treatment, the observation group bad higher total effective rate as 95.24% than 71.43% in the control group, and the difference had statistical significance （P〈0.05）. The observation group had lower incidence of complications as 14.29% than 57.14% in the control group, and the difference had statistical significance （P〈0.05）. Conclusion Vocal cord polyps patients with difficult laryngeal exposure should chose nasal endoscope combined with self-retaining laryngoscope for resection, and this method has affirmative curative effect and clinical application value.

关 键 词：鼻内镜 支撑喉镜 声门暴露困难 声带息肉 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]