孟立新　李健　赵亮 卢宣桦　苏云缈

【摘要】 目的：探究角度镜在支撑喉镜下声带肿物暴露困难中的临床应用效果。方法：选择笔者所在医院2016年10月-2019年10月收治的23例声带肿物患者作为研究对象，采用随机数字表法将其分成对照组（11例）和研究组（12例），对照组采用支撑喉镜下声带病变切除术治疗，研究组采用30°鼻内镜联合支撑喉镜下声带病变切除术治疗，对比两组声带肿物暴露率、治疗总有效率及术后并发症发生率。结果：研究组声带肿物暴露率、治疗总有效率均高于对照组，术后并发症发生率低于对照组，差异均有统计学意义（P<0.05）。结论：角度镜在支撑喉镜下声带肿物暴露困难中的临床应用效果显著，值得临床应用和推广。

【关键词】 角度镜 支撑喉镜 声带肿物暴露困难 应用

doi：10.14033/j.cnki.cfmr.2020.16.012 文献标识码 B 文章编号 1674-6805（2020）16-00-03

The Clinical Application of Angle Mirror in the Difficult Exposure of Vocal Cord Mass under Supporting Laryngoscope/MENG Lixin， LI Jian， ZHAO Liang， LU Xuanhua， SU Yunmiao. //Chinese and Foreign Medical Research， 2020， 18（16）： -34

[Abstract] Objective： To explore the clinical effect of angle mirror on the difficulty of vocal cord mass exposure under supporting laryngoscope. Method： A total of 23 patients with vocal cord tumor admitted to our hospital from October 2016 to October 2019 were selected as the study objects. They were divided into the control group （11 cases） and the study group （12 cases） by random number table method. The control group was treated by vocal cord lesion resection under the support laryngoscope， and the study group was treated by vocal cord lesion resection under the 30 ° nasal endoscope combined with the support laryngoscope. The exposure rate， total effective rate and incidence of postoperative complications were compared between the two groups. Result： The exposure rate of vocal cord tumor and the total effective rate of treatment in the study group were higher than those in the control group， and the incidence of postoperative complications in the study group was lower than that in the control group， the differences were statistically significant （P<0.05）. Conclusion： The clinical application of the angle mirror in the difficult exposure of vocal cord tumor under the supporting laryngoscope is significant， and it is worth clinical application and promotion.

[Key words] Angle mirror Supporting laryngoscope Vocal cord mass exposure difficulty Application

First-authors address： Hechi Peoples Hospital， Hechi 547000， China

聲带肿物是指声带有异常的新生物，按照肿物的病理性质来看，可分为良性肿物和恶性肿物两种类型，其中，以良性肿物最为多见，声带良性肿物较小时，虽不会对患者生命安全构成致命威胁，但是，易引发其出现声音嘶哑、咽干、咽部微痛等不适症状，随着肿物持续增大，则会引发其出现呼吸困难、窒息等症状，从而易威胁其生命安全，因此，临床需尽早采取肿物切除术对患者进行治疗，才能改善其预后[1]。既往，临床多采用支撑喉镜下声带病变切除术对患者治疗，虽有一定的效果，但有一部分病例支撑喉镜难以暴露术野，从而易影响手术顺利进行和治疗效果[2-3]。笔者所在医院尝试采用30°鼻内镜（30°鼻内镜属于一种角度镜）联合支撑喉镜下声带病变切除术对患者治疗，获得了满意效果，现将角度镜在支撑喉镜下声带肿物暴露困难中的临床应用效果分析报告如下。……