摘要
目的观察支撑喉镜鼻内镜下和纤维喉镜下治疗声带息肉的效果及患者嗓音恢复时间。方法选取本院2019年1月—2020年12月收治的80例声带息肉患者为研究对象,利用随机数字表法分为支撑喉镜鼻内镜组与纤维喉镜组,各40例,支撑喉镜鼻内镜组采取支撑喉镜鼻内镜下手术治疗,纤维喉镜组采取纤维喉镜下手术治疗,对两组首次发声时间、声音完全恢复时间、出院时间、嗓音障碍指数(功能、生理、情感)、生存质量评分(生理、心理、社会关系、环境)、并发症发生率进行比较。结果支撑喉镜鼻内镜组首次发声时间、声音完全恢复时间、出院时间均短于纤维喉镜组、并发症发生率小于纤维喉镜组,差异均有统计学意义(P<0.05);术前两组患者嗓音障碍指数、生存质量评分比较差异无统计学意义(P>0.05),术后均较本组术前显著改善且支撑喉镜鼻内镜组改善效果优于纤维喉镜组,差异均有统计学意义(P<0.05)。结论在声带息肉治疗中支撑喉镜鼻内镜手术取得的疗效较纤维喉镜手术更佳,患者嗓音恢复时间更短、并发症发生率更低、生存质量更高,值得在今后治疗工作中推广使用。
Objective To observe the effect of supporting laryngoscope nasal endoscopy and fiberlaryngoscope on vocal cord polyps and the recovery time of voice.Methods 80 patients with vocal cord polyps admitted in the hospital from January 2019 to December 2020 were selected as the subjects,Using random digital table method,40 cases were divided into supporting laryngoscope nasal endoscope group and fiber laryngoscope group,Support laryngoscope nasal endoscopy group with support laryngoscope endoscopic surgery,The fibrolaryngoscope group was treated with fibrolaryngoscopy,The first vocalization time,sound complete recovery time,discharge time,voice disorder index(function,physiology,emotion),quality of life score(physiology,psychology,social relationship,environment)and the incidence of complications were compared between the two groups.Results The first vocalization time,sound recovery time and discharge time in the supporting laryngoscope nasal endoscope group were shorter than those in the fiber laryngoscopy group,and the incidence of complications was lower than that in the fiber laryngoscopy group.The differences were statistically significant(P<0.05);There was no significant difference in voice disorder index and quality of life score between the two groups of patients(P>0.05).After surgery,they were significantly improved compared with this group before surgery.The improvement effect of the support laryngoscope and nasal endoscopy group was better than that of the fiber laryngoscope group.The differences were both There is statistical significance(P<0.05).Conclusion In the treatment of vocal cord polyps,the effect of supporting laryngoscope and nasal endoscopic surgery is better than that of fiber laryngoscope surgery.The patient’s voice recovery time is shorter,the incidence of complications is lower,and the quality of life is higher.It is worthy of promotion in future treatment work use.
作者
黄家惠
黄莉
HUANG Jiahui;HUANG Li(General Hospital of Guizhou Panjiang Investment Holding(Group)Co.,Ltd.,Panzhou 553536,China)
出处
《中国全科医学》
CAS
北大核心
2021年第S01期49-51,共3页
Chinese General Practice
关键词
声带息肉
支撑喉镜鼻内镜
纤维喉镜
嗓音障碍指数
Vocal cord polyp
Supporting laryngoscope nasal endoscope
Fiberlaryngoscope
Voice disturbance index
