支撑喉镜下双极电凝联合药物局部注射治疗咽喉部血管瘤的临床疗效分析  

Clinical analysis of bipolar electrocoagulation combined with local drug injection for laryngopharyngeal hemangioma under suspension laryngoscopy

作　　者：任芳芳[1] 王章锋[2] REN Fangfang;WANG Zhangfeng(Department of Otolaiyngology,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450052,China;Department of Otolaryngology,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong,510080,China)

机构地区：[1]郑州大学第五附属医院耳鼻咽喉科,河南郑州450052 [2]中山大学附属第一医院耳鼻咽喉科,广东广州510080

出　　处：《中国耳鼻咽喉头颈外科》2021年第9期561-564,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的分析支撑喉镜下双极电凝联合药物局部注射治疗咽喉部血管瘤的临床疗效。方法选取40例咽喉部血管瘤患者作为研究对象,分为研究组20例和对照组20例,研究组采用支撑喉镜下双极电凝联合药物局部注射进行治疗,对照组采用支撑喉镜下单纯药物注射进行治疗,对比两组的总有效率、术后不良反应发生率以及达到显效以上疗效所需的治疗次数。结果研究组的总有效率为100.00%,高于对照组总有效率80.00%,差异有统计学意义(χ^(2)=4.44,P<0.05);研究组中达到显效以上疗效所需的治疗次数为(1.15±0.37)次,明显低于对照组的(2.44±1.26)次,差异有统计学意义(t=4.35,P<0.001);研究组术后总的不良反应发生率为5%,低于对照组的35%,差异有统计学意义(χ^(2)=5.63,P<0.02)。结论支撑喉镜下双极电凝与药物局部注射联用治疗咽喉部血管瘤,临床疗效显著,不良反应少,所需的手术次数较少,值得临床医师予以采纳及推广。OBJECTIVE To investigate and analyze the clinical efficacy of bipolar electrocoagulation combined with local drug injection in the treatment of laryngopharyngeal hemangioma under suspension laryngoscopy.METHODSA total of 40 cases of laryngopharyngeal hemangioma were selected and divided into two groups:research group (20 cases) and control group(20 cases).The research group was adopted with bipolar electrocoagulation combined with local drug injection under suspension laryngoscopy,while the control group was treated with single drug injection under suspension laryngoscopy.The total effective rate,the incidence of postoperative adverse reactions and the number of treatments needed to achieve significant effect were compared between the two groups.RESULTS The totaleffective rate of the research group was higher than that of the control group,the total effective rate of the two groups was 100.00% and 80.00%,respectively,the difference was statistically significant(χ^(2)=4.44,P<0.05).In the research group,the average number of treatments needed to achieve significant efficacy was(1.15±0.37),which was significantly lower than that in the control group(2.44±1.26),and the difference between the two groups was statistically significant(t=4.35,P<0.001).The incidence of postoperative adverse reactions in the research group(5%) was lower than that in the control group(35%),and the difference was statistically significant(χ^(2)=5.63,P<0.05).CONCLUSIONIn the treatment of laryngopharyngeal hemangioma,bipolar electrocoagulation combined with local drug injection under suspension laryngoscopy has significant clinical efficacy,less adverse reactions and fewer times of operation,which is worthy of adoption and promotion by clinicians.

关 键 词：咽肿瘤 血管瘤 治疗结果 电凝术 药物注射 平阳霉素 

分 类 号：R739.6[医药卫生—肿瘤]