低温等离子刀治疗早期声门型喉癌的疗效分析

Efficacy Analysis of Low Temperature Plasma Knife in the Treatment of Early Glottic Laryngocarcinoma

目的探讨低温等离子刀治疗早期声门型喉癌患者的效果。方法回顾性选取2021年6月—2023年6月单县中心医院耳鼻咽喉科收治的80例早期声门型喉癌患者的临床资料,根据不同的手术方式分组,将其分为对照组(n=40)和研究组(n=40),对照组实施传统手术治疗,研究组实施低温等离子刀治疗,对比两组手术指标和术后康复情况、嗓音功能及并发症的发生情况。结果研究组手术时间(15.61±2.50)min短于对照组(35.21±5.47)min,术中出血量(10.54±2.12)mL少于对照组(18.95±2.34)mL,黏膜恢复评分(2.07±0.48)分低于对照组(3.69±0.57)分,住院时间(8.20±1.35)d短于对照组(15.17±2.42)d,差异有统计学意义(t=20.611、16.845、13.749、15.907,P均<0.05)。研究组的振幅微扰和基频微扰低于对照组,谐噪比高于对照组,差异有统计学意义(P均<0.05)。研究组并发症总发生率[5.00%(2/40)]低于对照组[20.00%(8/40)],差异有统计学意义(χ^(2)=4.114,P<0.05)。结论实施低温等离子刀治疗的效果较为理想,值得在后续临床中应用。

Objective To investigate the effect of low temperature plasma knife in the treatment of patients with early glottic laryngocarcinoma.Methods The clinical data of 80 patients with early glottic laryngocarcinoma admitted to the Otolaryngology Department of Shanxian Central Hospital from June 2021 to June 2023 were retrospectively selected.According to different surgical methods,they were divided into control group(n=40)and study group(n=40).The control group was treated with traditional surgery,and the study group was treated with low-temperature plasma knife.The surgical indicators and postoperative rehabilitation,voice function and complications were compared between the two groups.Results The operation time of the study group was(15.61±2.50)min,which was shorter than that of the control group(35.21±5.47)min,the intraoperative blood loss was(10.54±2.12)mL,which was less than that of the control group(18.95±2.34)mL,the mucosal recovery score was(2.07±0.48)points,which was lower than that of the control group(3.69±0.57)points,and the hospitalization time was(8.20±1.35)d,which was shorter than that of the control group(15.17±2.42)d,the differences were statistically significant(t=20.611,16.845,13.749,15.907,all P<0.05).The amplitude perturbation and fundamental frequency perturbation of the study group were lower than those of the control group,and the harmonic noise was higher than that of the control group,the differences were statistically significant(all P<0.05).The total incidence of complications in the study group[5.00%(2/40)]was lower than that in the control group[20.00%(8/40)],and the difference was statistically significant(χ^(2)=4.114,P<0.05).Conclusion The effect of low-temperature plasma knife treatment is ideal and worthy of application in subsequent clinical practice.