全麻支撑喉镜术与局麻纤维喉镜术治疗声带息肉的疗效对比分析  

Comparison of general anesthesia with laryngoscopy and local anesthesia fiber laryngoscope in the treatment of vocal cord polyps

作　　者：景鹏 王飞娟[2] 

机构地区：[1]咸阳市中心医院耳鼻咽喉科,陕西咸阳712000 [2]陕西国际商贸学院医药学院陕西西安712046

出　　处：《中国医刊》2017年第6期67-70,共4页Chinese Journal of Medicine

摘　　要：目的对比全麻支撑喉镜术与局麻纤维喉镜术治疗声带息肉的临床效果。方法选择2014年1月至2015年1月于本院就诊的72例声带息肉患者,随机分为研究组和对照组,每组36例,研究组使用全麻支撑喉镜术、对照组使用局麻纤维喉镜术进行治疗,比较两组的临床治疗效果。结果研究组手术时间较对照组长,住院时间较对照组短;研究组术后1例舌根撕裂,2例喉黏膜损伤,并发症发生率为8.3%,对照组术后2例舌根撕裂,2例喉黏膜损伤,1例门齿松动,并发症发生率为13.9%,差异无显著性(P>0.05);研究组疼痛评分明显低于对照组,差异有显著性(P<0.05);术后随访6个月,研究组息肉复发率明显较对照组要低,差异有显著性(P<0.05)。两组术前嗓音声学检查结果,差异无显著性(P>0.05);研究组治疗后嗓音声学检查检测值均低于对照组,差异有显著性(P<0.05)。研究组术后3个月的治疗总有效率(94.44%)高于与对照组(77.78%),差异有显著性(P<0.05);研究组术后6个月的治疗总有效率(91.67%)高于对照组(66.67%),差异有显著性(P<0.05)。结论使用全麻支撑喉镜术与局麻纤维喉镜术治疗声带息肉患者均可获得良好临床效果,但全麻支撑喉镜术治疗声带息肉(尤其是广基息肉)的临床效果更佳。Objective Comparison of general anesthesia laryngoscopy and laryngoscopy in the treatment of vocal cord polyps. Methods From January 2014 to January 2015, 72 patients with vocal cord polyps were analyzed and evenly divided into study group and control group. The study group and the control group were treated with general anesthesia laryngoscopy and local occurred anesthesia fiber laryngoscopy, and to explore the clinical therapeutic effect of the two groups. Results 2 cases of laryngeal mucosal injury, the rate was 8.3% in the control group 2 cases of tongue tear, 2 cases of laryngeal mucosa, laryngeal mucosa of the two groups, （P〉0.05）. In addition, the pain scores in the study group were significantly lower than those in the control group （P〈0.05）. The postoperative follow-up was 6 months （P〈 0.05）, and the incidence of incisors was 13.9%, the recurrence rate of polyp was significantly lower than the control group, the difference was statistically significant （P〈0.05）. There were significant differences between the two groups in the results of preoperative acoustic voice examination （P〉0.05）. In the study group, the results of acoustic acoustics examination were significantly lower than those in the control group after general anesthesia laryngoscopic surgery （P〈0.05）. The total effective rate was 94.44% at 3 months after surgery and 77.78% in the control group, P〈0.05. The total effective rate was 91.67% after 6 months of treatment, which was still higher than 66.67% in the control group, P〈 0.05. Conclusion From the overall therapy, the use of general anesthesia laryngoscopy and laryngoscopy for the treatment of vocal cord polyp in patients with access to good clinical results, but general anesthesia laryngoscope treatment of vocal cord polyps （especially Based polyps） obtained better clinical results.

关 键 词：全麻支撑喉镜术 局麻纤维喉镜术 声带息肉 临床效果 对比分析 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]