经皮打孔茎突切割截短术治疗茎突综合征  

Effect of Percutaneous Styloidectomy for Styloid Process Syndrome

作　　者：郑跃彬 鄢斌成 杨羿容 钟华才 易旺 ZHENG Yue-bin;YAN Bin-cheng;YANG Yi-rong;ZHONG Hua-cai;YI Wang(Department of Otolaryngology Head and Neck Surgery,Zigong First People's Hospital,Zigong 643000,Sichuan,China)

机构地区：[1]自贡市第一人民医院耳鼻咽喉头颈外科,四川自贡643000

出　　处：《中国现代手术学杂志》2022年第4期304-308,共5页Chinese Journal of Modern Operative Surgery

基　　金：自贡市科技局重点科技计划项目(2020YXY10)。

摘　　要：目的探讨经皮打孔茎突切割截短术治疗茎突综合征的疗效。方法选择2020年6月至2021年6月我科收治的茎突综合征患者40例,采用随机数字表法将其随机分为A组和B组,各20例,分别行颈外径路茎突截短术和经皮打孔茎突切割截短术。比较两组手术结果、临床有效率、语言及吞咽功能评分、疼痛VAS评分及术后并发症。结果B组切口长度、手术时间、术中出血量及住院时间均少于A组,茎突截短长度大于A组(P<0.05)。术后7 d两组患者语言评分均较术前明显升高(P<0.05),吞咽功能评分以及术后3 d、7 d及6个月VAS评分均较术前明显降低(P<0.05);组间比较,B组语言评分高于A组,吞咽功能及术后各时点VAS评分均低于A组(P<0.05)。两组手术有效率及并发症发生率比较均无统计学差异(P>0.05)。结论经皮打孔茎突切割截短术具有手术创伤小,出血少,术野清晰,截断端光滑的优势,可有效避免茎突截短时对周围组织的损伤,术后并发症少,值得推广应用。Objective To investigate the clinical effect of percutaneous styloidectomy in the treatment of styloid process syndrome.Methods A total of 40 patients with styloid process syndrome admitted from June 2020 to June 2021 were selected and randomized into group A and group B according to random number table,with 20 patients in each group,and performed styloidectomy by external cervical approach and percutaneous method respectively.Peri-operative outcomes,clinical effective rate,speech score and swallowing score,VAS score and the incidence of postoperative complications were compared between the two groups.Results The length of incision,operation time,intra-operative blood loss and hospital stays of group B were less than those of the group A,and the truncation length of the group B was longer than that of the group A(P<0.05).The speech scores of day 7 after the operation were higher than those before the operation,and the swallowing scores and the VAS scores of day 3,7 and 6 months after the operation were significantly lower than those before the operation in both groups(P<0.05).Compare to the group A,the speech scores were higher,and the swallowing scores and VAS scores were lower in group B after the operation(P<0.05).There was no significant difference in effective rate and incidence of complication between the two groups(P>0.05).Conclusion Percutaneous styloidectomy has the advantages of mini-trauma,less blood loss,clear field,smooth end of styloid,no injury of surrounding tissues and few complications.

关 键 词：茎突综合征 茎突截短术 经皮打孔颞骨茎突截短装置 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]