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目的探讨支撑喉镜下声带息肉摘除术的临床治疗效果。方法选择2008年6月至2010年6月声带息肉患者102例,将以上患者随机分为两组,观察组和对照组。对照组患者采用电子喉镜下声带息肉摘除术。观察组患者采用支撑喉镜下声带息肉摘除术。患者术后6个月采用电子喉镜对患者声带进行复查,观察声带边缘是否光滑整齐、声带闭合情况和患者发声的主观感觉。结果观察组治愈率为90.1%(46/51),对照组治愈率为70.5%(36/51),两组治愈率比较,差异有统计学意义(P<0.05)。结论电子喉镜下和支持喉镜下声带息肉摘除均能获得满意治疗效果,但是支撑喉镜手术治愈率显著高于电子喉镜,值得借鉴。
Objective To investigate the clinical effect of vocal cord polyp removal under the support of laryngoscope. Methods 102 patients with vocal cord polyps from June 2008 to June 2010 were randomly divided into two groups: observation group and control group. Patients in the control group underwent electronic laryngoscope vocal cord polyp removal. Patients in the observation group underwent vocal cord polyp removal with a support laryngoscope. Patient’s vocal cords were reviewed by electronic laryngoscope 6 months after operation to observe whether the edge of the vocal cord is smooth and tidy, the closed vocal cord and the subjective feeling of the patient’s voice. Results The cure rate was 90.1% (46/51) in the observation group and 70.5% (36/51) in the control group. The cure rate of the two groups was statistically significant (P <0.05). Conclusion Electronic laryngoscope and vocal cord polyp removal under laryngoscope can achieve satisfactory therapeutic effect, but the cure rate of laryngoscope support is significantly higher than that of electronic laryngoscope, which is worth learning from.