支撑喉镜和纤维喉镜下声带息肉切除术临床疗效对照分析.docxVIP

支撑喉镜和纤维喉镜下声带息肉切除术临床疗效对照分析 　　[摘要]目的對比分析支撑喉镜、纤维喉镜下声带息肉切除术治疗声带息肉的临床疗效。方法方便选取该院2015年12月—2017年12月收治的108例声带息肉患者为研究对象，随机分为a组和b组，每组54例，对a组患者实施支撑喉镜下声带息肉切除术治疗，对b组患者实施纤维喉镜下声带息肉切除术治疗，比较两组患者手术耗时、术中出血量、术后并发症发生情况及整体治疗效果。结果a组手术耗时（21.9±4.6）min较b组（29.3±4.3）min短，两组比较差异有统计学意义（χ2=8.226，p0.05）。且a组患者术中出血量（6.5±1.1）ml较b组（13.5±1.9）ml少，两组比较差异有统计学意义（t=22.319，p0.05）;术后a组患者出现1例口腔黏膜水肿，并发症发生率为1.9%，b组患者在术后出现3例声带损伤，4例舌麻木，并发症发生率为13.0%，a组并发症发生率较b组低，差异有统计学意义（χ2=4.860，p0.05）;a组整体治疗效果中66.7%治愈，31.4%明显改善，1.9%无效，治疗总有效率为98.1%。b组整体治疗效果中53.7%治愈，35.2%明显改善，11.1%无效，治疗总有效率为88.9%，a组疾病治疗总有效率较b组高，差异有统计学意义（χ2=4.209，p0.05）。结论支撑喉镜下声带息肉切除术治疗声带息肉的安全性和疗效均优于纤维喉镜下声带息肉切除术。 　　[关键词]声带息肉;支撑喉镜;纤维喉镜;并发症;临床治疗总有效率 　　[中图分类号]r767.91[文献标识码]a[文章编号]1674-0742（2019）05（c）-0042-03 　　[abstract]objectivetocompareandanalyzetheclinicalefficacyofvocalcordpolypectomyunderthesupportlaryngoscopeandfiberopticlaryngoscopeinthetreatmentofvocalcordpolyps.methods108patientswithvocalcordpolypsadmittedtoourhospitalfromdecember2015todecember2017wereconvenientrandomlydividedintogroupaandgroupb，54patientsineachgroup.groupaofpatientsunderwentvocalcordpolypectomyunderlaryngoscope.forthetreatmentofgroupb，vocalcordpolypectomyunderfiberopticlaryngoscopywasperformed.thetime，intraoperativebloodloss，postoperativecomplicationsandoveralltreatmenteffectofthetwogroupswerecompared.resultsthetimeofoperationingroupawas（21.9±4.6）minshorterthanthatingroupb（29.3±4.3）min.thedifferencebetweenthetwogroupswasstatisticallysignificant（χ2=8.226，p0.05）.theintraoperativebloodloss（6.5±1.1）mlingroupawaslessthanthatingroupb（13.5±1.9）ml.thedifferencebetweenthetwogroupswasstatisticallysignificant（t=22.319，p0.05）.oralmucosaledema，theincidenceofcomplicationswas1.9%.ingroupb，therewere3casesofvocalcordinjuryand4casesoftonguenumbness.thecomplicationratewas13.0%.theincidenceofcomplicationingroupawaslowerthanthatingroupb.statisticallysignificant（χ2=4.860，p0.05）;66.7%oftheoveralltreatmenteffectofgroupawascured，31.4%wassignificantlyimproved，1.9%wasineffective，andthetotaleffectiverate