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内镜下低温等离子射频术与常规喉显微切除术治疗声带息肉的疗效对比 被引量:9

COMPARISON OF EFFICACY OF ENDOSCOPIC LOW-TEMPERATURE PLASMA RADIOFREQUENCY ABLATION AND CONVENTIONAL LARYNGEAL MICROSURGERY FOR VOCAL CORD POLYPS
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摘要 目的比较内镜下低温等离子射频术与常规喉显微切除术对声带息肉的治疗效果。方法通过随机数字表法将136例声带息肉患者分为对照组(68例)和观察组(68例)。对照组患者进行内镜下常规喉显微切除术治疗,观察组则使用内镜下低温等离子射频术治疗。比较二组术后2周治疗总有效率,记录手术前和术后2周时主观嗓音评分[嗓音障碍指数量表(VHI)、感知性语音分析量表(GRBAS)]和嗓音参数(基频、基频微扰、振幅微扰、噪声能量、谐噪比)差异及患者嗓音恢复率、嗓音恢复时间。结果术后2周时,观察组广基息肉治疗有效率(97.44%)及总有效率(97.06%)均显著高于对照组(72.22%、83.82%)(P<0.05);与治疗前比较,二组患者VHI、GRBAS量表评分、基频微扰、振幅微扰和噪声能量均较治疗前显著降低,而谐噪比显著升高,且观察组上述指标变化幅度均大于对照组(均P<0.05);观察组术后嗓音恢复率显著高于对照组,而嗓音恢复时间显著低于对照组(均P<0.05)。结论低温等离子射频术治疗声带息肉有较好的疗效,优于常规喉显微切除术。 Objective To compare the therapeutic effects of endoscopic low-temperature plasma radiofrequency ablation and conventional laryngeal microsurgery on vocal cord polyps.Methods A total of one hundred and thirty-six patients with vocal cord polyps were randomly divided into control group(68 cases)and observation group(68 cases).The control group was given endoscopic conventional laryngeal microsurgery,and the observation group was given endoscopic low-temperature plasma radiofrequency ablation.The total effective rate was compared between the two groups at 2 weeks after operation.The subjective voice score(VHI,GRBAS)and voice parameters(fundamental frequency,fundamental frequency perturbation,amplitude perturbation,noise energy,harmonic-to-noise ratio)were recorded before and 2 weeks after operation,and the voice recovery rate and time were recorded.Results At 2 weeks after operation,the effective rate(97.44%)and total effective rate(97.06%)of the observation group were significantly higher than those of the control group(72.22%,83.82%)(P<0.05).Compared with before treatment,the VHI score,GRBAS score,fundamental frequency perturbation,amplitude perturbation,noise energy ratio in the two groups significantly decreased,while the harmonic to noise ratio significantly increased,and the changes of above indicators in observation group were greater than those in control group(P<0.05).The recovery rate of postoperative voice in observation group was significantly higher than that in control group while the voice recovery time was significantly lower than that in control group(P<0.05).Conclusion Radiofrequency therapy with low temperature plasma has a better effect on vocal cord polyps than conventional laryngectomy.
作者 代浩 刘金祥 曹亚琦 Dai Hao;Liu Jinxiang;Cao Yazhi(Xiehe Jiangbei Hospital ,Wuhan 43100,China)
机构地区 协和江北医院
出处 《中国煤炭工业医学杂志》 2019年第1期41-44,共4页 Chinese Journal of Coal Industry Medicine
基金 湖北省自然科学基金(编号:201602083)
关键词 低温等离子射频术 常规喉显微切除术 声带息肉 Low-temperature plasma radiofrequency ablation Conventional laryngeal microsurgery Vocal cord polyps
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