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支撑喉镜联合鼻内镜手术对声带息肉患者的影响

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目的 分析支撑喉镜联合鼻内镜手术对声带息肉患者的影响.方法 选取 2021 年4 月—2023 年 4月金乡县人民医院收治的 74 例声带息肉患者为研究对象,按随机数字表法将其分为对照组与观察组,各 37 例.对照组行支撑喉镜手术,观察组行支撑喉镜联合鼻内镜手术.对比两组临床疗效、嗓音功能、生活质量、并发症发生情况、复发率.结果 观察组治疗总有效率为 94.59%,高于对照组的 78.38%,并发症发生率为 5.41%、复发率为 5.41%,均低于对照组的24.32%、21.62%,组间差异有统计学意义(P<0.05).术后 1个月,观察组谐噪比为(25.98±3.84)db,生活质量综合评定问卷内各个维度评分分别为(76.64±4.89)分、(79.96±4.25)分、(81.25±3.67)分、(79.96±4.97)分,均高于对照组的(21.57±3.49)db、(67.53±4.15)分、(71.35±3.47)分、(70.54±3.15)分、(72.34±4.68)分,标准化噪声能量为(-12.58±2.04)db,基频微扰为(0.25±0.02)%,振幅微扰为(1.53±0.17)%,均低于对照组的(-9.72±1.35)db、(0.32±0.05)%、(2.36±0.28)%,组间差异有统计学意义(P<0.05).结论 支撑喉镜联合鼻内镜手术可改善声带息肉患者嗓音功能,提高生活质量,且并发症、复发风险更低.
Effect of Supporting Laryngoscope Combined with Nasal Endoscopic Surgery on Patients with Vocal Cord Polyps
Objective To analyze the effect of supporting laryngoscope combined with nasal endoscopic surgery on patients with vocal cord polyps.Methods A total of 74 patients with vocal cord polyps admitted to Jinxiang People's Hospital from April 2021 to April 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 37 cases in each group.The control group was treated with supporting laryngoscope surgery,and the observation group was treated with supporting laryngoscope combined with nasal endoscopic surgery.The clinical efficacy,voice function,quality of life,complications and recurrence rate were compared between the two groups.Results The total effective rate of the observation group was 94.59%,which was higher than 78.38%of the control group,the incidence of complications was 5.41%,the recurrence rate was 5.41%,which were lower than 24.32%,21.62%of the control group,the differences were statistically significant(P<0.05).The harmonic noise ratio of the observation group was(25.98±3.84)db,and the scores of each dimension in the General Quality of Life Inventory were(76.64±4.89)points,(79.96±4.25)points,(81.25±3.67)points and(79.96±4.97)points,respectively,which were greater than(21.57±3.49)db,(67.53±4.15)points,(71.35±3.47)points,(70.54±3.15)points,(72.34±4.68)points of the control group,the Normalized Noise Energy was(-12.58±2.04)db,the fundamental frequency perturbation was(0.25±0.02)%,and the amplitude perturbation was(1.53±0.17)%in the observation,which were lower than(-9.72±1.35)db,(0.32±0.05)%,(2.36±0.28)%of the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion Support laryngoscope combined with nasal endoscopic surgery can improve the voice function of patients with vocal cord polyps,improve the quality of life,and reduce the risk of complications and recurrence.

Vocal cord polypsVoice functionQuality of lifeComplications

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金乡县人民医院耳鼻喉科,山东济宁 272200

声带息肉 嗓音功能 生活质量 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)
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