摘要
目的探讨显微喉镜下二氧化碳激光治疗声带息肉的临床效果。方法选择2009年1月至2010年12月本院接诊的160例声带息肉患者为研究对象,按照随机数表法将其分为观察组和对照组,每组各80例。观察组患者采用显微喉镜下二氧化碳激光治疗,对照组患者采用显微喉镜下单纯手术治疗。比较两组患者治疗1个月后临床效果、嗓音参数、不良反应发生情况及随访3年后复发率。结果观察组患者治疗总有效率高于对照组(P<0.05)。观察组中简单型及复杂型息肉患者基音频率微扰、基音振幅微扰及声门嗓音指标均小于对照组(P<0.05)。观察组患者不良反应发生率及随访3年后复发率均明显低于对照组(P<0.05)。结论显微喉镜下二氧化碳激光治疗声带息肉的远期预后良好,值得临床推广应用。
ObjectiveTo explore the clinical effect of carbon dioxide laser in the treatment of polyp of vocal cord under microlaryngoscopy.Method160 patients with polyp of vocal cord from January 2009 to December 2010 in our hospital were chose as the objects of study. They were randomly divided into observation group and control group, 80 patients in each group. Observation group patients were treated by carbon dioxide laser treatment under microlaryngoscopy and control group patients used simple surgery under microlaryngoscopy. The clinical effect after 1 month of therapy, voice parameters, occurrence of adverse reactions and the recurrence rate followed up for 3 years were compared between the two groups.ResultThe total effective rate in observation group was higher than control group （P〈0.05）. In observation group, the simple type and complex type polyps patients with fundamental frequency perturbation, pitch amplitude perturbation and glottal voice index were less than control group （P〈0.05）.ConclusionThe long-term prognosis of polyp of vocal cord treated by carbon dioxide laser under microlaryngoscopy is well. It is worthy of promotion in clinic.
出处
《中国医学前沿杂志（电子版）》
2015年第9期56-59,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
显微喉镜
二氧化碳激光
声带息肉
Microlaryngoscopy
Carbon dioxide laser
Polyp of vocal cord
