伍润生

[摘要] 目的 探讨支撑喉镜联合鼻内镜下声带良性增生性病变切除术的临床疗效。方法 方便抽取于2013年1月—2016年5月至该院就诊的声带良性增生性病变患者40例作为该次的研究对象，依照入院的次序进行分组，其中对常规组单纯采取支撑喉镜下给予声带病变切除术治疗，对实验组采取支撑喉镜联合鼻内镜下给予声带病变切除术治疗，对比两组的治疗效果。 结果 实验组与常规组的治疗总有效率分别为95.00%与90.00%（χ2=0.360 4，P=0.548 0）；随访6个月得知，实验组与常规组的复发率分别为10.00%与15.00%（χ2=0.228 6，P=0.633 0）；实验组与常规组的治疗满意度分别为95.00%与90.00%（χ2=0.360 4，P=0.548 0）。 结论 对声带良性增生性病变患者采取支撑喉镜联合鼻内镜下切除术进行治疗的效果显著，便于提高临床疗效，降低疾病复发率，改善患者生存质量。

[关键词] 支撑喉镜；鼻内镜；声带良性增生性病变；切除术

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）03（c）-0095-03

Analysis of Curative Effect of Self-retaining Laryngoscope and Nasal Endoscopic Benign Vocal Hyperplasic Lesion Excision

WU Run-sheng

Department of Otorhinolaryngology， Shuyang Hospital of TCM， Suqian， Jiangsu Province， 223600 China

[Abstract] Objective To study the clinical curative effect of self-retaining laryngoscope and nasal endoscopic benign vocal hyperplasic lesion excision. Methods 40 cases of patients with benign vocal hyperplasic lesion diagnosed in our hospital from January 2013 to May 2016 were convenient selected as the research objects and divided into groups according to the admission order， the routine group were treated with simple self-retaining laryngoscope benign vocal hyperplasic lesion excision， while the experimental group were treated with self-retaining laryngoscope and nasal endoscopic benign vocal hyperplasic lesion excision， and the treatment effect was compared between the two groups. Results The total treatment effective rate in the experimental group and in the routine group was respectively 95.00%， 90.00%（χ2=0.360 4，P=0.548 0）， and the 6-month follow-up showed that the recurrence rate in the experimental group and in the routine group was respectively 10.00%， 15.00%（χ2=0.228 6，P=0.633 0）， and the treatment satisfactory degree in the experimental group and in the routine group was respectively 95.00%， 90.00%（χ2=0.360 4，P=0.548 0）. Conclusion The effect of self-retaining laryngoscope and Nasal endoscopic Benign Vocal Hyperplasic lesion excision is obvious， which is conducive to improving the clinical curative effect， reducing the recurrence rate of diseases and improving the survival quality of patients.

[Key words] Self-retaining laryngoscope； Nasal endoscopic； Benign vocal hyperplasic lesion； Excision

對声带良性增生性病变患者主要采取手术切除治疗，其中全麻下采取支撑喉镜联合显微镜、内镜等微创器械对患者进行手术治疗已经发展为耳鼻喉炎微创手术的一种趋势[1]。为此，该次研究收治了2013年1月—2016年5月至该院就诊的40例声带良性增生性病变患者，并采用不同的手术进行治疗，分析其应用价值，现报道如下。

1 资料与方法

1.1 一般资料

方便抽取至该院就诊的声带良性增生性病变患者40例作为该次的研究对象，所有患者的疾病均获得确诊，对该次研究知情同意，研究经过该地医学伦理委员会的批准同意。……