两种不同方法取出喉咽异物的临床效果比较

The clinical effect of indirect laryngoscope and electronic laryngoscope in treating foreign body from laryngopharynx

目的比较间接喉镜与电子喉镜两种不同方法取出喉咽异物的临床效果,为临床上选择不同方式取出喉咽异物提供相关依据。方法选取2014年1~12月于我院治疗的97例喉咽异物患者,随机分成间接喉镜组55例和电子喉镜组42例,记录两组数据手术操作时间、治疗费用、术后使用抗生素时间、一次性取出成功率、麻药使用情况、黏膜损伤率等并分别进行比较分析。结果除治疗费用较高外,电子喉镜组手术操作时间、抗生素应用时间、一次性取出成功率、麻药使用情况、黏膜损伤率等指标均优于间接喉镜组,两组数据比较均有统计学意义（P〈0.05）。结论电子喉镜下喉咽异物取出对黏膜损伤小、手术时间短、一次性异物取出成功率高等,可以作为取出患者喉咽异物的首选方法,值得推广的一种微创手术。

Objective To compare the clinical effect of indirect laryngoscope and electronic laryngoscope in treating foreign body from laryngopharynx and provide relevant basis for choosing different treatment methods. Methods The clinical datas of the patients were retrospectively analyzed from January to December 2014 in the third affiliated hospital of wenzhou medical university. All of the 97 patients with foreign bodies in laryngopharynx were randomly divided into two groups. The cases in indirect laryngoscope and electronic laryngoscope were 55 cases and 42 cases respectively and the relevant indicators including the time of operation, cost of treatment, time of antibiotics application, one-time success rate, anesthetic usage, the damage ratio of the mucosa and so on were compared. Results The time of operation,cost of treatment, time of antibiotics application, one-time success rate, anesthetic usage, the damage ratio of the mucosa between electronic laryngoscope group and indirect laryngoscope group were statistically significan different（P〈0.05）. In addition to the treatment cost in electronic laryngoscope group was higher, all other indicators were better than the indirect laryngoscope group. Conclusion Electronic laryngoscope has little damage to mucos, short operation time, high successful rate of disposable removal of foreign bodies and has good clinical effect, so it can be the first choice for the treatment of foreign body in laryngopharynx.