视频喉镜手术治疗声带小结/声带息肉125例的临床观察  

Clinical observation of 125 cases of vocal nodules and polyps treated by video laryngoscopy surgery

作　　者：吴金鹏[1] 陈爱民[1] 骆献阳[1] 刘存山[1] Wu Jinpeng;Chen Aimin;Luo Xianyang;Liu Cunshan(Department of Otolaryngology,Head and Neck Surgery,First Affiliated Hospital of Xiamen University,Xiamen,361001,Fujian,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361001

出　　处：《中国医学文摘（耳鼻咽喉科学）》2023年第6期110-112,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探究我院声带小结、声带息肉采取视频支撑喉镜下手术诊疗的临床效果。方法回顾性研究2020年01月~2022年6月于我院住院手术治疗的声带小结、声带息肉患者,总例数125例,按照电子喉镜肿物形态分成声带小结、局限性声带息肉、弥漫性声带息肉,于全麻视频喉镜下日间中心手术治疗。结果视频喉镜手术治疗有效率达98.4%,疗效显著;手术前后嗓音指标有显著提高,差异有统计学意义(P<0.05);手术前后生活质量有明显提高,手术前后生理/心理功能/精神健康等因子评分有明显提高,差异有统计学意义(P<0.05);手术不良事件总发生率4.8%。结论声带小结和声带息肉采取视频支撑喉镜下手术诊疗效果确切,可明显改善患者声嘶症状,手术中精细操作有助于减少并发症,术后声带休息及口服抗返流药物有助于降低复发,提高患者嗓音质量。Objective To explore the clinical effect of video supported laryngoscopy surgery for the diagnosis and treatment of vocal nodules and vocal polyps in our hospital.Method A retrospective study was conducted on 125 patients with vocal nodules and vocal polyps who underwent surgical treatment in our hospital from January 2020 to June 2022.They were divided into vocal nodules,localized vocal polyps,and diffuse vocal polyps according to the morphology of electronic laryngoscopic tumors,and were treated with daytime center surgery under general anesthesia video laryngoscope.Result The effective rate of video laryngoscopy surgery was 98.4%,with significant therapeutic effects;There was a significant improvement in voice indicators before and after surgery,with a statistically significant difference(P<0.05);There was a significant improvement in quality of life before and after surgery,as well as a significant improvement in scores of physiological/psychological function/mental health factors before and after surgery,with a statistically significant difference(P<0.05);The total incidence of surgical adverse events was 4.8%.Conclusion Video assisted laryngoscopy is effective in the diagnosis and treatment of vocal nodules and vocal polyps,which can significantly improve the patient’s hoarseness symptoms.Fine surgical procedures can help reduce complications,and postoperative vocal cord rest and oral anti reflux drugs can help reduce recurrence and improve the quality of the patient’s voice.

关 键 词：声带小结 声带息肉 视频支撑喉镜下手术 并发症 嗓音质量 

分 类 号：R76[医药卫生—耳鼻咽喉科]