电子喉镜引导下新型会厌脓肿切排器治疗会厌脓肿的临床效果  

Analysis of clinical efficacy of a novel incision and drainage device for epiglottitis abscess under the guidance electronic laryngoscope

作　　者：曹隆和[1] 陈崇喜[1] 周静[1] 林森[1] CAO Longhe CHEN Congxi ZHOU Jing LIN Sen(Department of Otolaryngology Surgery, the Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 32520)

机构地区：[1]温州医科大学附属第三医院耳鼻咽喉科,浙江温州325200

出　　处：《温州医科大学学报》2017年第8期612-614,共3页Journal of Wenzhou Medical University

摘　　要：目的:探讨电子喉镜引导下新型会厌脓肿切排器行会厌脓肿切开引流的疗效。方法:回顾性分析2013年9月至2015年12月在温州医科大学附属第三医院耳鼻咽喉科住院的有脓肿形成或脓肿虽已破裂但引流不畅的急性会厌炎患者34例,其中切排器组16例行经鼻电子喉镜下新型会厌脓肿切排器会厌脓肿切开,直接喉镜组18例采用直达喉镜下会厌脓肿切开排脓。比较2组手术操作时间、术后平均住院时间、疼痛评分的差异。结果:切排器组手术操作时间较长,疼痛评分较低,差异均有统计学意义(P<0.001);术后平均住院时间2组间差异无统计学意义(P=0.703)。结论:电子喉镜引导下新型会厌脓肿切排器治疗会厌脓肿操作简单,手术视野好,患者疼痛程度低,耐受性好。Objective： To investigate the efficacy of the new type epiglottis abscess incision operation under the guidance of electronic laryngoscopy. Methods： Thirty-four cases of acute epiglottis with abscess inpatients in department of otolaryngology of the Third Affiliated Hospital of Wenzhou Medical University, dating from Sep. 2013 to Dec. 2015 were enrolled in this study. Eighteen cases received direct laryngoscopy surgery, and 16 cases underwent the new type epiglottis abscess incision operation under the guidance of electronic laryngoscopy. The differences in operation duration, postoperative average hospitalization days, and pain scores between the two groups were compared. Results： There was no difference in postoperative average hospitalization days between the two groups, while the new incision group lengthen operative duration. The pain scores in post group were significantly lower than that in the direct laryngoscopy group. Conclusion： The new type epiglottis abscess incision operation under the guidance of electronic laryngoscopy can be easily performed with the advantages of clear view, less pain, and desirable effect.

关 键 词：会厌炎 会厌脓肿 喉镜 

分 类 号：R45[医药卫生—治疗学]