显微支撑喉镜下声带息肉与声带小结摘除术临床效果分析

Analysis of the clinical Effect of Microsupport Laryngoscope for Vocal Cord Polyp and Vocal Cord Nodule

目的:分析治疗声带息肉、声带小结,应用显微支撑喉镜下摘除术的临床效果。方法:选取东莞市茶山医院2018年7月至2019年5月收治的30例声带息肉、声带小结患者为研究对象,以手术方式差异分为对照组(n=16)和观察组(n=14)。对照组行电子喉镜下摘除术,观察组行显微支撑喉镜下摘除术,比较两组患者临床疗效、治疗前后各项嗓音指标(基频微扰、振幅微扰、标准化噪声能量)以及生活质量改善情况。结果:观察组临床疗效为92.8%,高于对照组的62.5%,差异具有统计学意义(P<0.05)。治疗后,观察组患者基频微扰、振幅微扰低于对照组,标准化噪声能量高于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组患者各项生活质量评分均高于对照组,差异具有统计学意义(P<0.05)。结论:显微支撑喉镜下摘除术治疗声带息肉、声带小结损伤小、恢复快,且有效保护其术后声带功能的恢复。

Objective To analyze the value of Microsupport laryngoscopy in the treatment of vocal cord polyps and vocal cord nodules.Methods 30 patients with vocal cord polyps and vocal cord nodules treated in Dongguan Chashan Hospital from July 2018 to may 2019 were selected as the research objects.They were divided into control group with 16 cases and observation group with 14 cases.The control group underwent removal under electronic laryngoscope and the observation group underwent removal under micro-support laryngoscope.The clinical efficacy,various voice indexes(fundamental frequency perturbation,amplitude perturbation,standardized noise energy)and the improvement of quality of life before and after treatment were compared between the two groups.Results The clinical efficacy of the observation group was 92.8%,which was higher than 62.5%of the control group(P<0.05).After treatment,the fundamental frequency perturbation and amplitude perturbation in the observation group were lower than those in the control group,and the standardized noise energy was higher than that in the control group(P<0.05).After treatment,the scores of quality of life in the observation group were higher than those in the control group(P<0.05).Conclusion Microsupport laryngectomy is effective in the treatment of vocal cord polyps and vocal cord nodules,and can effectively protect the postoperative recovery of vocal cord function.