低温等离子射频消融术与显微镜支撑喉镜下CO_(2)激光治疗对会厌囊肿患者的疗效分析  

Analysis of the curative effect of low temperature plasma radiofrequency ablation and CO_(2)laser treatment under microscope support laryngoscope on patients with epiglottic cyst

作　　者：邢东良 XING Dongliang(Department of Otorhinolaryngology,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471003,China)

机构地区：[1]河南科技大学第一附属医院耳鼻喉科,河南洛阳471003

出　　处：《现代医药卫生》2025年第2期334-336,341,共4页Journal of Modern Medicine & Health

摘　　要：目的比较低温等离子射频消融术(TCRF)与显微镜支撑喉镜下二氧化碳(CO_(2))激光治疗对会厌囊肿患者的疗效。方法回顾性分析2021年10月至2022年12月于该院接受显微镜支撑喉镜下CO_(2)激光治疗的28例会厌囊肿患者临床资料,作为A组,选取同期接受TCRF治疗的30例会厌囊肿患者临床资料,作为B组。比较2组围手术期指标;比较术后1、3、7 d时2组视觉模拟评分法(VAS)疼痛评分;记录2组术后并发症发生情况。结果B组手术时间、术中出血量均低于A组[(28.56±1.29)min vs.(33.24±1.25)min、(4.16±0.98)mL vs.(6.24±1.32)mL],差异有统计学意义(P<0.05);VAS的测量次数与组别的交互效应显著,测量次数与组别的交互效应显著(F=3.699,P=0.031,偏η2=0.119),术后1、3、7 d测定时,VAS疼痛评分依次下降,差异有统计学意义(P<0.05)。2组间术后并发症发生率,差异无统计学意义(P>0.05)。结论相对于显微镜支撑喉镜下CO_(2)激光治疗,TCRF治疗会厌囊肿可有效缩短手术时间及术中出血量,减少患者痛感,具有较高安全性。Objective To compare the efficacy of low-temperature plasma radiofrequency ablation(TCRF)and carbon dioxide(CO_(2))laser treatment under microscope-supported laryngoscope in patients with epiglottic cysts.Methods The clinical data of 28 patients with epiglottic cysts who received CO_(2)laser treatment under microscope-supported laryngoscope in our hospital from October 2021 to December 2022 were retrospectively analyzed as group A.The clinical data of 30 patients with epiglottic cysts who received TCRF treatment during the same period were selected as group B.The clinical data of the two groups were compared.The perioperative indexes of the two groups were compared.The visual analogue scale(VAS)pain scores of the two groups were compared at 1,3 and 7 days after operation.The postoperative complications of the two groups were recorded.Results The operation time and intraoperative blood loss in group B were lower than those in group A[(28.56±1.29)min vs.(33.24±1.25)min,(4.16±0.98)mL vs.(6.24±1.32)mL],and the differences were statistically significant(P<0.05).The interaction effect between the number of measurements and the group was significant,and the interaction effect between the number of measurements and the group was significant(F=3.699,P=0.031,partialη2=0.119).The VAS pain score decreased in turn on the 1st,3rd and 7th day after operation,and all reached a significant level(P<0.05).There was no significant difference in the incidence of postoperative complications between 2 groups(P>0.05).Conclusion Compared with CO_(2)laser treatment under microscope,TCRF treatment of epiglottic cysts can effectively shorten the operation time and intraoperative blood loss,reduce the pain of patients,and has high safety.

关 键 词：会厌囊肿 低温等离子射频消融术 显微镜支撑喉镜下CO_(2)激光 术后并发症 

分 类 号：R767.5[医药卫生—耳鼻咽喉科]