两种不同手术方式对声带息肉患者疗效的分析

Analysis of the Curative Effect of Two Different Surgical Methods on Patients with Vocal Cord Polyps

目的探讨分别采用支撑喉镜和电子喉镜手术对声带息肉患者疗效的影响。方法方便选取2020年1月—2021年2月该院收治的48例声带息肉患者,随机分为支撑喉镜手术组(n=24)和电子喉镜手术组(n=24),支撑喉镜手术组选择全麻支撑喉镜手术方式,电子喉镜手术组采用局麻电子喉镜手术方式;另选24名无嗓音障碍、声带正常的健康成人做正常对照组。两组患者在手术前和术后4周分别完成一次嗓音障碍指数-10(VHI-10)量表评估、嗓音声学分析和电子喉镜检查,收集两组患者的治疗总有效率、并发症发生率、手术时间、住院时间、住院费用。结果在治疗声带息肉的总有效率方面(91.67%vs 95.83%),两组比较差异无统计学意义(χ^(2)=0.000,P>0.05)。两组术后嗓音质量均恢复至正常水平范围,与正常对照组比较,均差异无统计学意义(P>0.05),且两组术后嗓音质量比较,差异无统计学意义(P>0.05),在住院相关指标方面如手术时间(39.4±6.7)min vs(22.5±5.3)min、住院时间(4.2±1.5)d vs(1.2±0.5)d和住院费用(4873.8±246.2)元vs(1625.4±30.8)元,差异有统计学意义(t=9.691、9.295、64.138,P<0.05)。电子喉镜手术组术后并发症发生率明显少于支撑喉镜手术组(33.33%vs 4.17%),差异有统计学意义(χ^(2)=4.923,P<0.05)。结论电子喉镜和支撑喉镜下进行声带息肉手术均能获得良好的疗效,但电子喉镜手术安全性更高、更便捷、更经济,临床上可以依据患者实际情况为患者制定个体化的手术方案,以期取得医疗资源效应最大化。

Objective To investigate the effect of support laryngoscopy and video laryngoscopy on the efficacy of vocal cord polyps.Methods Conveniently selected a total of 48 patients with vocal cord polyps admitted to the hospital from January 2020 to February 2021 were randomly divided into a support laryngoscopy group(n=24)and a video laryngoscopy group(n=24).The support laryngoscopy group was selected as general anesthesia support laryngoscopy,and the video laryngoscopy group was selected by local anesthesia electronic laryngoscopy;24 healthy adults with no voice disorder and normal vocal cords were selected as the normal control group.The two groups of patients completed a voice handicap index-10(VHI-10)scale assessment,voice acoustic analysis and video laryngoscopy before surgery and 4 weeks after surgery,respectively.The total effective rate,complication rate,operation time,hospitalization time,and hospitalization expenses of the two groups of patients were collected.Results There was no statistically significant difference between the two groups in the total effective rate of the treatment of vocal cord polyps(91.67%vs 95.83%)(χ^(2)=0.000,P>0.05).The postoperative voice quality of the two groups returned to the normal range,and there was no significant difference compared with the normal control group(P>0.05).There was no statistically significant difference in the postoperative voice quality between the two groups(P>0.05).Hospitalization-related indicators such as operation time(39.4±6.7)min vs(22.5±5.3)min,hospital stay(4.2±1.5)d vs(1.2±0.5)d and hospitalization costs(4873.8±246.2)yuan vs(1625.4±30.8)yuan,the difference was statistically significant(t=9.691,9.295,64.138,P<0.05).Incidence of postoperative compliacations in the video laryngoscopy group was less than the support laryngoscopy group(33.33%vs 4.17%),and the difference was statistically significant(χ^(2)=4.923,P<0.05).Conclusion Vocal cord polyp surgery with electronic laryngoscope and support laryngoscope can achieve good curative effect,but electronic laryngoscope surgery is safer,more convenient and more economical.In clinical practice,individualized surgical plans can be formulated for patients according to their actual conditions,in order to maximize the effect of medical resources.