CO_2激光显微手术与传统显微手术切除声带息肉疗效比较  

Comparison of the curative effect of CO_2 laser microsurgery and conventional microsurgery for vocal polyp resection

作　　者：郝艳 李栋才 蓝建平 HAO Yan;LI Dongcai;LAN Jianping(Shenzhen Longgang District Otolaryngology Hospital, Shenzhen Institute of Otorhinolaryngology, Shenzhen 518172, Guangdong, China)

机构地区：[1]深圳市龙岗区耳鼻咽喉医院深圳市耳鼻咽喉研究所,广东深圳518172

出　　处：《山东大学耳鼻喉眼学报》2017年第6期68-70,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：深圳市重点实验室项目(ZDSYS201506050935272)

摘　　要：目的比较显微镜CO_2激光机下与传统显微镜支撑喉镜下切除声带息肉的疗效及恢复情况。方法选择2013年5月至2016年9月就诊的214例声带息肉患者,按照病理情况和治疗方法不同分为四组,分别为普通CO_2激光组50例,普通传统显微镜组56例,复杂CO_2激光组48例,复杂传统显微镜组60例,比较两种手术方法治疗不同病理情况患者的嗓音疗效。结果四组患者总体疗效比较,差异无统计学意义(P>0.05)。术后普通型和复杂型声带息肉患者通过两种手术方式治疗总有效率、基频、基频微扰、振幅微扰、噪声能量、谐噪比比较均无统计学差异(P>0.05)。结论显微镜CO_2激光手术与传统显微镜支持喉镜手术治疗声带息肉均能取得较为满意效果,需根据患者具体病情选择最佳治疗方案、优化手术及术后恢复。Objective To compare the curative effect and recovery between CO2 laser microsurgery and conventional microscope surgery for vocal polyp resection. Methods The case data of 214 patients with polyps of the vocal cords treated at our hospital between May 2013 and September 2016 were divided into the common CO2 laser group （ 50 ca-ses）, general traditional microscope group （56 cases）, complex CO2 laser group （48 cases）, and complex traditional microscope group （ 60 cases） according to the different pathological conditions of the patients and the treatment method. The difference in the outcomes of surgery performed using the two surgical methods for the treatment of the different pathological conditions was compared. Results There was no significant difference in the overall curative effect be-tween the two surgical methods （ P〉0.05） . After surgery, there was no significant difference in the total effective rate for the two surgical methods between patients with common and complex vocal polyps. There was also no difference in the main voice parameters of the patients, including fundamental frequency, fundamental frequency perturbation, ampli-tude perturbation, noise energy, or harmonic noise ratio （ P〉0.05） . Conclusion Surgical treatment of vocal cord pol-yps using either CO2 laser microsurgery or conventional microscope-supported laryngoscope surgery can yield satisfacto-ry results. The best treatment plan must be selected, and surgery and postoperative recovery must be optimized according to each patient＇s specific condition.

关 键 词：显微镜CO2激光 传统显微镜支持喉镜 声带息肉 嗓音疗效 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]