比较不同麻醉方式对声带息肉摘除术的影响  

Effects of different anesthetic technique on the vocal cord polyp surgery

作　　者：张万路[1] 肖嵩[1] 张兴梅[1] ZHANG Wanlu;XIAO Song;ZHANG Xingmei(Department of ENT,General llospital of North Anhui Coal and Power Group,Suzhou 234000,China)

机构地区：[1]皖北煤电集团总医院耳鼻咽喉科,安徽宿州234000

出　　处：《皖南医学院学报》2018年第5期468-469,473,共3页Journal of Wannan Medical College

摘　　要：目的:探讨喉罩用于声带息肉手术的可行性。方法:回顾性分析我科2016年1月～2017年11月诊治的声带息肉患者168例的临床资料,其中喉罩全麻下电子喉镜治疗声带息肉94例,气管插管全麻下显微支撑喉镜下74例。术后随访1～3月,对比分析两组的疗效,并分别比较有蒂声带息肉组及广基声带息肉组两种手术方式的疗效。结果:喉罩全麻下电子喉镜治疗声带息肉与气管插管全麻下支撑喉镜下的疗效差异无统计学意义(P>0.05),喉罩全麻下经电子喉镜治疗声带息肉术后疼痛的发生率低于全麻显微支撑喉镜下声带息肉的治疗,差异有统计学意义(P<0.05),有蒂声带息肉组两种手术方式的疗效差异无统计学意义(P>0.05),广基声带息肉组两种手术方式的疗效差异无统计学意义(P>0.05)。结论:喉罩可用于电子喉镜下声带息肉摘除术,尤其适用于支撑喉镜下声带暴露困难的患者,并可减轻患者术后不适的发生率。Objective ：To assess the feasibility of laryngeal mask anesthesia for vocal cord polyp surgery. Methods ： Retrospective analysis was performed in 168 cases of vocal cord polyps treated in our department between January 2016 and November 2017. Of the patients, 94 received polyp resection with elec- tronic laryngoseope using laryngeal mask airway, and 74, microscopic laryngoseopy under general anesthesia. The therapeutic effects were compared be- tween groups concerning removal of the peduneulated vocal polyp and broad-based vocal polyp after follow-up in one to 3 months. Results ：The difference was not significant in the polyp resection using different anesthetic technique （P〉0.05） ,yet the incidence of postoperative pain was lower by electronic la- ryngoscopy than by self-retaining laryngoseopy（ P〈0.05）. The therapeutic effects were insignificant in removal of the peduneulated vocal polyp and broad- based vocal polyp using either anesthetic technique （P〉0.05）. Conclusion ：Laryngeal mask airway can be used for the treatment of vocal cord polyp under electronic laryngoseope, especially favorable to the patients with difficult laryngeal exposure of the glottis, and can reduce the incidence of postoperative dis- comfort.

关 键 词：喉罩 喉镜检查 治疗效果 声带息肉摘除术 

分 类 号：R614[医药卫生—麻醉学] R767.91[医药卫生—外科学]