经口CO_(2)激光甲状软骨窗式切除辅助微型钛板内固定对早期声门型喉癌术后喉功能的影响  

Effects of oral CO_(2) laser thyroid cartilage window resection assisted with micro-titanium plate internal fixation on laryngeal function after surgery for early glottic laryngeal cancer

作　　者：秦阳[1] 钱茂华[1] 王军[1] Qin Yang;Qian Maohua;Wang Jun(Department of Otorhinolaryngology,Nantong First People’s Hospital,Nantong 260000,China)

机构地区：[1]南通市第一人民医院耳鼻咽喉科,江苏南通260000

出　　处：《海军医学杂志》2023年第9期930-934,共5页Journal of Navy Medicine

摘　　要：目的 探讨经口CO_(2)激光甲状软骨窗式切除辅助微型钛板内固定对早期声门型喉癌术后喉功能的影响。方法选取2019年2月至2021年2月南通市第一人民医院收治的81例早期声门型喉癌患者资料进行回顾性分析。根据手术方式分为激光切除组(43例)和内固定组(38例)。其中激光切除组行经口CO_(2)激光甲状软骨窗式切除,内固定组行经口CO_(2)激光甲状软骨窗式切除辅助微型钛板内固定术。统计2组患者的围手术期情况、发音功能、吞咽功能、拔管率以及术后并发症的发生情况。结果 内固定组声门型喉癌患者的手术时间长于激光切除组(P<0.05),术中出血量与住院时间比较差异无统计学意义(P>0.05),内固定组患者术后20 d的拔管率高于激光切除组(P<0.05),拔管天数短于激光切除组(P<0.05),2组患者的术后并发症发生率比较差异无统计学意义(P>0.05)。内固定组声门型喉癌患者的发音功能优良率高于激光切除组(P<0.05),吞咽功能与激光切除组比较差异无统计学意义(P>0.05)。结论 经口CO_(2)激光甲状软骨窗式切除辅助微型钛板内固定有助于促进早期声门型喉癌患者术后喉功能恢复,喉腔生理形态基本保留,术后并发症发生率与单纯进行经口CO_(2)激光甲状软骨窗式切除术患者比较无差异。Objective To investigate the effects of oral CO2 laser thyroid cartilage window resection assisted with micro⁃titanium plate internal fixation on laryngeal function after surgery for early glottic laryngeal cancer.Methods The medical data of 81 patients with early glottic laryngeal cancer treated in Nantong First People’s Hospital from February 2019 to February 2021 were analyzed retrospectively.The patients were divided into the laser resection group(n=43)and the internal fixation group(n=38),dependent on different surgical methods.The laser resection group underwent oral CO2 laser thyroid cartilage window resection,and the internal fixation group underwent oral CO2 laser thyroid cartilage window resection assisted with micro⁃titanium plate internal fixation.The perioperative condition,pronouncing function,swallowing function,extubation rate and postoperative complications of the two groups were statistically analyzed.Results The operation time of the glottic laryngeal cancer patients in the internal fixation group was longer than that in the laser resection group,when comparisons were made between the 2 groups(P<0.05).There were no significant differences in the amount of intraoperative bleed loss or the length of hospital stay(P>0.05),the extubation rate in the internal fixation group was higher than that in the laser resection group at 20 d after operation(P<0.05),and the extubation days of the former were shorter than those of the latter(P>0.05).There were no significant differences in the rates of postoperative complications,when comparisons were made between the two groups(P>0.05).The excellent and good rate of vocal function in the internal fixation group was superior to that in the laser resection group(P<0.05),and no significant differences could be noted in swallowing function(P>0.05).Conclusion Oral CO2 laser thyroid cartilage window resection assisted with micro⁃titanium plate internal fixation can facilitate recovery of laryngeal function and preservation of laryngeal physiological morpholog

关 键 词：经口CO_(2)激光切除 微型钛板内固定 声门型喉癌 吞咽功能 发音功能 

分 类 号：R653[医药卫生—外科学]