自制弧形支撑喉镜临床应用的初步探讨

Investigation of clinical application of the self-made curved laryngoscope

目的探讨自制弧形支撑喉镜的临床实用性。方法回顾性分析我院2012年9月~2014年10月声带息肉患者198例,其中弧形支撑喉镜组99例,显微支撑喉镜组99例。术后随访3个月,对比分析两组的疗效、插喉镜时间、声门暴露情况及手术并发症。结果弧形支撑喉镜组和显微支撑喉镜组的总疗效无显著差异,但对于声门暴露困难的患者弧形支撑喉镜下手术的疗效优于显微支撑喉镜下手术。插喉镜时间、声门暴露情况及手术并发症等方面弧形喉镜均优于显微支撑喉镜。结论弧形支撑喉镜具有术野暴露充分、操作准确、创伤小等优点,是声门暴露困难患者的首选。

OBJECTIVE To discuss the clinical utility of the self-made curved laryngoscope.METHODS Clinical data of 198 patients with vocal cord polyps from September 2012 to October 2014 was analyzed retrospectively in which 99 cases were treated under the selfmade curved larngoscopic surgeries（curved laryngoscope group） and 99 cases were treated by microlaryngoscopic surgeries（microlaryngoscope group）.The duration of follow-up was 3 months in all patients.The clinical efficacy,times of inserting laryngoscope,glottic exposure and operation complications of two kinds of operations were observed and compared.RESULTS The total clinical efficacy in curved laryngoscope group showed no significant difference as compared with that in microlaryngoscope group.But for patients with difficult laryngeal exposure,the efficacy of curved laryngoscopic surgery was significantly better compared with that in the microlaryngoscopic surgery group.The results of times of inserting laryngoscope,glottic exposure and operation complications in the selfmade curved larngoscope group were all better than those in microlaryngoscope group（P〈0.05）.CONCLUSION The operation under the self-made curved laryngoscope is a minimal invasive procedure to the laryngeal mucosa,with such more advantages like clear view of operation field and accurate management to the lesion tissue.Furthermore,the self-made curved laryngoscopic surgery is the first choice for the treatment of patients with difficult laryngeal exposure.