视频支撑喉镜下手术治疗声带小结及声带息肉的临床分析  

Clinical Analysis of Video-supported Laryngoscope Surgery for Vocal Nodules and Vocal Cord Polyps

作　　者：宋省官 薛侦 SONG Shengguan;XUE Zhen(Department of Otolaryngology,Lishui District People's Hospital,Nanjing Jiangsu 211200)

机构地区：[1]南京市溧水区人民医院耳鼻喉科,江苏南京211200

出　　处：《智慧健康》2024年第2期142-145,共4页Smart Healthcare

摘　　要：目的 探讨治疗声带小结及声带息肉患者采用视频支撑喉镜下手术的效果。方法 本次试验选取本院在2018年4月—2023年3月收治的65例声带小结及声带息肉患者,并将其作为数据分析对象,分组时采用随机数字表法分为对照组(n=32)和观察组(n=33)。对照组实施常规支撑喉镜下手术治疗,观察组实施视频支撑喉镜下手术治疗。对比两组治疗效果;对比声嘶消失时间、住院时间;对比两组并发症发生率、复发率。结果 两组对比治疗效果,观察组明显高于对照组,差异有统计学意义(P<0.05)。观察组声嘶消失时间、住院时间短于对照组,差异有统计学意义(P<0.05)。两组对比并发症发生率、复发率,观察组均明显低于对照组,差异有统计学意义(P<0.05)。结论 通过视频支撑喉镜下手术治疗声带小结及声带息肉患者,可以有效提高临床治疗效果,缩短声嘶消失时间、住院时间,减少并发症发生,复发率低,安全性高,值得在临床治疗声带小结及声带息肉中推广以及实施。Objective To investigate the effect of video supported laryngoscope in the treatment of vocal nodules and vocal cord polyps.Methods In this study,65 patients with vocal nodules and vocal polyps admitted to our hospital from April 2018 to March 2023 were selected as data analysis objects,and grouped into control(n=32) and observation(n=33) groups by random number table method.The control group received routine support laryngoscope surgery,and the observation group received video support laryngoscope surgery.The therapeutic effect of the two groups was compared.The time of hoarseness disappearance and hospital stay were compared.The complication rate and recurrence rate of the two groups were compared.Results The comparison of treatment effect between the two groups,the observation group accounted for 96.97%,the control group accounted for 78.13%,the observation group was significantly higher than the control group,the difference was significant(P< 0.05).The hiss disappearance time(2.35±0.43) d and hospitalization time(4.18±0.99) d in the observation group were shorter than those in the control group,the difference was significant(P<0.05).The complication rate and recurrence rate of the two groups were 6.06% and 3.03% in the observation group and 25.00%and 18.75% in the control group,which were significantly lower in the observation group than in the control group,with significant differences(P<0.05).Conclusion video-supported laryngoscope surgery for vocal nodules and vocal cord polyps can effectively improve the clinical treatment effect and reduce the incidence Short hoarseness disappearance time,hospital stay,reduce complications,low recurrence rate,high safety,worthy of promotion and implementation in the clinical treatment of vocal nodules and vocal cord polyps.

关 键 词：视频支撑喉镜下手术 声带小结 声带息肉 治疗效果 并发症 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]