内窥镜与显微镜下声带良性增生性病变切除术的疗效比较  

Comparison of Curative Effect of Endoscopic and Microscopy Resection of Benign Hyperplasia of Vocal Cord

作　　者：赖春明 施香兰 LAI Chun-ming;SHI Xiang-lan(Otorhinolaryngology-Head and Neck Surgery,Xinfeng County Traditional Chinese Medicine Hospital,Xinfeng 341600,Jiangxi,China)

机构地区：[1]信丰县中医院耳鼻咽喉-头颈外科,江西信丰341600

出　　处：《医学信息》2020年第14期103-104,共2页Journal of Medical Information

摘　　要：目的比较内窥镜与显微镜下声带良性增生性病变切除术疗效。方法回顾分析2017年3月~2019年3月在我院诊治的96例声带良性增生性病变患者的临床资料,依据治疗方法分为对照组(48例)和观察组(48例)。对照组在内窥镜下行切除术,观察组在显微镜下行切除术,比较两组临床治疗疗效、声学影像指标(基频微扰、振幅微扰、标准化噪能量)、复发率以及并发症(舌麻木、舌体肥厚、黏膜瘀血、声带粘连)发生情况。结果观察组临床治疗总有效率为95.83%,与对照组的91.67%比较,差异无统计学意义(P>0.05);治疗后两组基频微扰、振幅微扰、标准化噪能量均低于治疗前,但两组间比较,差异无统计学意义(P>0.05);随访5个月,观察组复发率、并发症发生率与对照组比较,差异无统计学意义(P>0.05)。结论内窥镜与显微镜下切除声带良性增生性病变疗效均确切,并发症和复发率低,临床在无手术显微镜或声带暴露困难时,可考虑在内窥镜下行切除术。Objective To compare the curative effect of endoscopic and microscope resection of benign hyperplasia of vocal cord.Methods The clinical data of 96 patients with benign hyperplasia of vocal cords diagnosed and treated in our hospital from March 2017 to March 2019 were retrospectively analyzed and divided into a control group(48 cases)and an observation group(48 cases)according to the treatment method.The control group underwent endoscopic resection,and the observation group underwent microscopic resection,comparing the clinical therapeutic efficacy,acoustic image indicators(fundamental frequency perturbation,amplitude perturbation,standardized noise energy),recurrence rate,and complications of the two groups(tongue numbness,tongue hypertrophy,mucosal stasis,and vocal cord adhesions).Results The total effective rate of clinical treatment in the observation group was 95.83%,compared with 91.67%in the control group,the difference was not statistically significant(P>0.05);after treatment,the fundamental frequency perturbation,amplitude perturbation,and standardized noise energy were lower than the treatment Before,but there was no statistically significant difference between the two groups(P>0.05);after 5 months of follow-up,the recurrence rate and the incidence of complications in the observation group were not statistically significant compared with the control group(P>0.05).Conclusion Endoscopic and microscopic resection of benign hyperplastic lesions of the vocal cords are accurate,with low complication and recurrence rate.When there is no surgical microscope or difficulty in vocal cord exposure,clinical endoscopic resection can be considered.

关 键 词：内窥镜 显微镜 声带 良性增生切除术 

分 类 号：R764[医药卫生—耳鼻咽喉科]