不同临床形态声带息肉手术方式的选择-海南医学.PDFVIP

海南医学2013 年1 月第24 卷第2 期 Hainan Med J, Jan. 2013, Vol. 24, No. 2 doi:10.3969/j.issn.1003-6350.2013.02.0084 ·论 著· 不同临床形态声带息肉手术方式的选择 徐志鸿，何锦添，钟景良 ( 东莞市人民医院耳鼻咽喉科，广东 东莞 523059) 【摘要】 目的 探讨不同临床形态声带息肉手术方式的选择。方法 回顾性分析我科声带息肉手术患者 346 例，根据喉镜图片及病理结果将其分为5 型：水肿型124例、血管扩张型65 例、纤维型88 例、出血型和出血血 栓型38 例、淀粉样变性型31 例。比较不同类型采用电子喉镜和支撑喉镜手术的疗效。结果 水肿型、血管扩张 型、出血型和出血血栓型采用电子喉镜及支撑喉镜手术的疗效比较差异无统计学意义(P0.05) ；纤维型和淀粉样 变性型采用支撑喉镜手术的疗效明显高于采用电子喉镜手术(P0.05) 。电子喉镜下手术患者均未出现并发症， 支撑喉镜下手术患者中有21 例出现并发症。结论 水肿型、血管扩张型、出血型和出血血栓型声带息肉采用电 子喉镜即可安全、有效的完成手术，纤维型和淀粉样变性型以采用支撑喉镜完成手术为佳。 【关键词】 声带息肉；喉镜检查；手术 【中图分类号】 R767.4 【文献标识码】A 【文章编号】 1003—6350（2013 ）02—0190—03 Selection of surgical procedures for different clinical shapes of vocal cord polyps. XUZhi-hong,HEJin-tian, ZHONGJing-liang.DepartmentofOtorhinolaryngology,DongguanPeoplesHospital,Dongguan523059,Guangdong, CHINA 【Abstract 】 Objective To discuss the selection of surgical procedures for treating different clinical shapes of vocal cord polyps. Methods The clinical data of 346 patients with vocal cord polyps were analyzed retrospectively. The vocal cord polyps were classified into 5 types according to the clinical shape of vocal cord polyps and their patho- logical features: edematous type in 124 cases, vascular type in 65 cases, fibrous type in 88 cases, hemorrhagic or thrombotic type in 38 cases, and amyloid type in 31 cases. The therapeutic effects of surgical procedure with electron- ic laryngoscope and suspension laryngoscope on different shapes of vocal cord polyps were compared. Results For vocal cord polyps of edematous type, vascular type and he