一种新型支撑喉镜开口器应用于多发会厌囊肿外科手术中的临床价值  

Study on the application value of a new type of supported laryngoscopic mouth opener in the surgical operation of multiple epiglottic cysts

作　　者：马天乙 宋健 李铎 金军[1] MA Tianyi;SONG Jian;LI Duo;JIN Jun(Affiliated Hospital of Yanbian University,Yanji 133000,China)

机构地区：[1]延边大学附属医院,吉林延吉133000

出　　处：《延边大学医学学报》2025年第1期73-77,共5页Journal of Medical Science Yanbian University

摘　　要：目的:分析一种新型支撑喉镜开口器(HZ-3型开口器)用于多发会厌囊肿外科手术的应用价值。方法:选取2021年2月—2023年8月在延边大学附属医院接受显微支撑喉镜下手术治疗的69例多发会厌囊肿患者作为研究对象。随机分为两组,对照组术中使用传统的支撑喉镜开口器,试验组术中使用新型支撑喉镜开口器。比较两组的术中器械调节次数、手术时间、术中出血情况、不良反应发生情况、住院时长等指标的差异。结果:两组术中均能清晰显示会厌囊肿及周边组织,并完整切除囊肿,术后均安全返回病房。试验组手术时长短于对照组(P<0.05),术中出血量、手术器械调节次数少于对照组(P<0.05)。两组的住院时长对比,差异无统计学意义(P>0.05)。试验组的咽痛、咳嗽咳痰、术后出血、咽部异物感、吞咽困难发生率低于对照组(P<0.05)。结论:与使用传统的支撑喉镜开口器相比,使用新型支撑喉镜开口器用于多发会厌囊肿外科手术中可减少手术器械调节次数,缩短手术时间,减少术中出血量,降低不良反应发生率,值得临床推广。Objective:To analyze the value of a new type of supported laryngoscopic mouth opener(HZ-3 mouth opener)in the surgery of multiple epiglottic cysts.Methods:69 patients with multiple epiglottic cysts who underwent microsurgical treatment under laryngoscopy at the Affiliated Hospital of Yanbian University from February 2021 to August 2023 were selected and randomly divided into a control group and an experimental group.During the operation,the control group used a traditional supporting laryngoscope opener,while the experimental group used a new supporting laryngoscope opener.The differences in intraoperative instrument adjustment frequency,surgical time,intraoperative bleeding,incidence of adverse reactions,and length of hospitalization between the two groups were compared.Results:Both groups were able to clearly display the epiglottic cyst and the surrounding tissues during surgery,and the cyst was completely removed.After surgery,they were safely returned to the ward.The duration of surgery in the experimental group was shorter than that in the control group.The amount of intraoperative bleeding and the frequency of surgical instrument adjustment in the experimental group were less than those in the control group(P<0.05).There was no statistically significant difference in the length of hospitalization between the two groups(P>0.05).The incidence of sore throat,cough and sputum,postoperative bleeding,foreign body sensation in the throat,and swallowing difficulties in the experimental group was lower than that in the control group(P<0.05).Conclusion:In the surgical treatment of multiple epiglottic cysts,compared with the use of traditional laryngoscope openers,the use of HZ-3 mouth opener can reduce the frequency of instrument adjustment,shorten the operation time,reduce intraoperative bleeding,and lower the incidence of adverse reactions,which is worthy of clinical promotion.

关 键 词：会厌囊肿 外科手术 支撑喉镜 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]