显微支撑喉镜下摘除声带近前联合处息肉疗效及安全性分析

摘要

Objective:To analyze the value of microscopic laryngoscope in the removal of laryngoscope symphysis complex vocal polyp .Method:Clinical data of 356 cases of vocal cord polyp near to the joint divi-sion were analyzed , 194 cases underwent microscopic resection laryngoscope , 162 cases underwent indirect laryngoscopy enucleation , The efficacy of the two groups were compared .Result:The cure rate of microscop-ic resection laryngoscope group was 93.4%, the effective rate was 98.5%, while cure rate of indirect laryn-goscopy was 73.5%, efficiency rate was 82.7%, there were statistically significant difference (P<0.05).the Jitter,Shimmer and NNE were (0.19±0.06)%,(1.63±0.48)%,(-17.09±2.66)dB,, all better than the control, there were statistically significant difference (P<0.05).Microscopic laryngoscope vocal cord polyp patients undergoing postoperative complications was 1.5%( 3/194 ) , significantly lower than the 12.2%of indirect laryngoscopy (20/162), the differences had statistically significant (P<0.05).Conclusion:Micro-scopic laryngoscope vocal cord polyp surgery is an effect way , the recurrence rate is low , the effect is satis-factory.%目的：分析显微支撑喉镜下摘除声带近前联合处复杂型息肉的疗效及安全性。方法：回顾分析356例声带近前联合处息肉患者的临床资料，其中显微支撑喉镜下切除术194例，间接喉镜下摘除术162例，对比分析两组的疗效。结果：显微支撑喉镜切除术组的治愈率为93．4％、治疗有效率为98．5％，与间接喉镜治疗组治愈率73．5％、治疗有效率82．7％比较，差异具有统计学意义（P＜0．05）。基频微扰（Jitter）、振幅微扰（Shimmer）和声门嗓音能量（NNE）值分别为（0．19±0．06）％，（1．63±0．48）％，（-17．09±2．66）dB，均显著优于对照组，差异具有统计学意义（P＜0．05）。显微支撑喉镜下声带息肉摘除术患者术后并发症的发生率为1．5％（3/194），显著低于间接喉镜的12．2％（20/162），两组并发症发生率比较差异具有统计学意义（P＜0．05）。结论：显微支撑喉镜下声带息肉手术效果好，不易损伤声带，复发率低，效果满意。