临床误诊误治2023,Vol.36Issue(12) :102-104,139.DOI:10.3969/j.issn.1002-3429.2023.12.021

经甲舌膜病灶内糖皮质激素注射对喉接触性肉芽肿的疗效观察

Clinical Observation of the Effect of Glucocorticoid Injection Through the Thyrohyoid Membrane on Laryngeal Contact Granuloma

邵永良 韩琳 杨泽垠 陈坤
临床误诊误治2023,Vol.36Issue(12) :102-104,139.DOI:10.3969/j.issn.1002-3429.2023.12.021

经甲舌膜病灶内糖皮质激素注射对喉接触性肉芽肿的疗效观察

Clinical Observation of the Effect of Glucocorticoid Injection Through the Thyrohyoid Membrane on Laryngeal Contact Granuloma

邵永良 1韩琳 2杨泽垠 1陈坤1
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作者信息

  • 1. 050031 石家庄,石家庄市人民医院耳鼻咽喉头颈外科
  • 2. 050000 石家庄,石家庄市中医院耳鼻喉科
  • 折叠

摘要

目的 探讨经甲舌膜穿刺病灶内糖皮质激素注射在喉接触性肉芽肿(LCG)治疗中的效果.方法 选取2020 年1 月—2022 年1 月收治的88 例LCG,根据治疗方法的不同分为对照组52 例(应用药物抑酸疗法)和观察组36 例(在对照组治疗基础上联合经甲舌膜病灶内糖皮质激素注射治疗),全部病例随访12 个月,比较2 组治疗效果和治愈时间.结果 2 组临床总有效率比较无差异(P>0.05),但观察组治愈率高于对照组(P<0.05).观察组治愈时间为(91.62±4.00)d短于对照组的(126.44±5.50)d(P<0.05).结论 经甲舌膜病灶内糖皮质激素注射联合抑酸疗法治疗LCG的效果显著,操作简单易行,成功率高,可显著缩短疗程.

Abstract

Objective To investigate the effect of glucocorticoid injection by puncture through thyrohyoid membrane in the treatment of laryngeal contact granuloma(LCG).Methods A total of 88 patients with LCG treated from January 2020 to January 2022 were selected and divided into control group(treated with acid suppression therapy,n =52)and observation group(treated with glucocorticoid injection by puncture through thyrohyoid membrane on the basis of control group,n =36)according to different treatment methods.All cases were followed up for 12 months,and the therapeutic effect and duration of cure of the two groups were compared.Results There was no difference in the total effective rate between the two groups(P>0.05),but the cure rate of the observation group was higher than that of the control group(P<0.05).The duration of cure of observation group was(91.62±4.00)d,which was shorter than that of control group[(126.44±5.50)d](P<0.05).Conclusion Glucocorticoid injection by puncture through thyrohyoid membrane combined with acid suppressive ther-apy is more effective for LCG,with operability,feasibility,and a high success rate,which can significantly shorten the course of treatment.

关键词

肉芽肿,喉/甲舌膜穿刺/糖皮质激素/抑酸疗法/病因/联合治疗/治疗结果/治愈时间

Key words

Granuloma,laryngeal/Puncture through thyrohyoid membrane/Glucocorticoid/Acid suppressive thera-py/Etiology/Combination therapy/Treatment outcome/Duration of cure

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基金项目

河北省卫生计生委项目(20160002)

石家庄市科技局项目(201200793)

出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量2
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