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目的 :比较显微支撑喉镜、间接喉镜两种手术方法治疗声带良性病变的疗效 ,探讨声带良性病变手术方法的选择。方法 :1 53例声带良性病变患者随机分为两组 ,其中于气管内插管、高频正压通气、静脉复合麻醉 (全麻 )下行显微支撑喉镜手术 (简称显微组 )91例 ,于表面麻醉 (表麻 )下行间接喉镜手术 (简称间接组 ) 62例。结果 :两组治愈率比较差异有显著性 (P<0 .0 5) ,总有效率比较差异则无显著 (P>0 .0 5)。结论 :显微支撑喉镜手术组治愈率优于间接喉镜手术组 ,但并不能取代后一种方法 ;两者的选用应灵活掌握 ,相互补充
OBJECTIVE: To compare the efficacy of microsurgery laryngoscope and indirect laryngoscope in the treatment of benign vocal cord lesions, and to explore the selection of operative methods for benign vocal cord lesions. Methods: One hundred and fifty-five patients with benign vocal cord lesions were randomly divided into two groups. One hundred and ninety-one patients underwent microscopic laryngoscope surgery (referred to as microscopic group) under endotracheal intubation, high-frequency positive pressure ventilation, intravenous combined anesthesia (general anesthesia) , Indirect anesthesia (ephedra) descending indirect laryngoscope surgery (referred to indirect group) 62 cases. Results: There was significant difference between the two groups in the cure rate (P <0.05). There was no significant difference in the total effective rate (P> 0.05). Conclusion: The cure rate of microscopic laryngoscopic surgery group is better than indirect laryngoscope surgery group, but it can not replace the latter method. The selection of both should be flexible and complementary