支撑喉镜联合内窥镜下低温等离子射频术治疗喉乳头状瘤患者的效果  

Effects of self-retaining laryngoscope combined with endoscopic low temperature plasma radiofrequency in treatment of patients with laryngeal papilloma

作　　者：姚丹丹 YAO Dandan(Ward 1 of Department of otolaryngology of Nanyang Central Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市中心医院耳鼻咽喉科一病区,河南南阳473000

出　　处：《中国民康医学》2025年第4期51-53,57,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察支撑喉镜联合内窥镜下低温等离子射频术治疗喉乳头状瘤患者的效果。方法:选取2022年3月至2023年3月该院收治的106例喉乳头状瘤患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各53例。对照组行支撑喉镜联合内窥镜下瘤体切除术治疗,观察组行支撑喉镜联合内窥镜下低温等离子射频术治疗。比较两组临床疗效,手术相关指标(手术时间、住院时间、术中出血量)水平,手术前后症状(喉部异物感、声音嘶哑、呼吸困难)评分、嗓音质量指标(基频微扰、振幅微扰、谐噪比)水平,并发症发生率,以及复发率。结果:观察组治疗总有效率为96.23%(51/53),高于对照组的84.91%(45/53),差异有统计学意义(P<0.05);观察组手术时间、住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);术后3个月,两组喉部异物感、声音嘶哑、呼吸困难等症状评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);术后3个月,两组基频微扰、振幅微扰水平均低于术前,且观察组低于对照组,两组谐噪比水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.66%(3/53),低于对照组的18.87%(10/53),差异有统计学意义(P<0.05);术后随访6个月,两组复发率比较,差异无统计学意义(P>0.05)。结论:支撑喉镜联合内窥镜下低温等离子射频术治疗喉乳头状瘤患者可提高治疗总有效率,降低症状评分和并发症发生率,改善手术相关指标、嗓音质量指标水平,效果优于支撑喉镜联合内窥镜下瘤体切除术治疗。Objective:To observe effects of self-retaining laryngoscope combined with endoscopic low temperature plasma radiofrequency in treatment of patients with laryngeal papilloma.Methods:A prospective study was conducted on 106 patients with laryngeal papilloma admitted to the hospital from March 2022 to March 2023.According to the random number table method,they were divided into control group and observation group,53 cases in each group.The control group was treated with self-retaining laryngoscope combined with endoscopic tumor resection,while the observation group was treated with self-retaining laryngoscope combined with endoscopic low temperature plasma radiofrequency.The clinical efficacy,the operation-related indexes(operation time,hospitalization time,intraoperative blood loss),the symptoms(laryngeal foreign body sensation,hoarseness,dyspnea)scores,the voice quality indexes(fundamental frequency perturbation,amplitude perturbation,harmonic noise ratio)levels before and after the surgery,the incidence of complications,and the recurrence rate were compared between the two groups.Results:The total effective rate of the observation group was 96.23%(51/53),which was higher than 84.91%(45/53)of the control group,and the difference was statistically significant(P<0.05).The operation time and the hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the scores of laryngeal foreign body sensation,hoarseness,dyspnea and other symptoms in the two groups were lower than those before the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the levels of fundamental frequency perturbation and amplitude perturbation in the two groups were lower than those before the surgery,and those in the observation group were lower tha

关 键 词：喉乳头状瘤 内窥镜 支撑喉镜 低温等离子射频术 嗓音质量 症状 并发症 

分 类 号：R739.65[医药卫生—肿瘤]