纤维喉镜下YAG激光与显微支撑喉镜下切除声带息肉术后嗓音声学分析比较

发布时间：2018-07-26 19:06

【摘要】：目的比较纤维喉镜下YAG激光和支撑喉镜显微镜下切除声带息肉术后嗓音声学分析结果,评价这两种方法治疗声带息肉的疗效。方法 83例声带息肉患者随机分为两组,一组(YAG激光组,43例)行纤维喉镜下YAG激光切除声带息肉,另一组(支撑喉镜显微手术组,40例)在支撑喉镜显微镜下手术切除声带息肉,于术前、术后2周、术后4周对所有患者进行嗓音声学分析,比较两组结果。结果术后2周时,YAG激光组jitter、shimmer、NNE值高于支撑喉镜显微手术组,差异有统计学意义(P0.05),术后4周时两组各项指标差异无统计学意义(P0.05)。结论纤维喉镜下YAG激光手术与支撑喉镜下显微手术切除声带息肉疗效无明显差异,但术后支撑喉镜显微手术组比YAG激光手术组患者嗓音功能恢复快,对于特殊职业者及对嗓音要求高的患者建议在全麻显微支撑喉镜下手术治疗更好。
[Abstract]:Objective to compare the results of voice acoustic analysis after vocal cord polyp resection with YAG laser and support laryngoscope under fiberoptic laryngoscope, and to evaluate the efficacy of these two methods in the treatment of vocal cord polyp. Methods Eighty-three patients with vocal cord polyps were randomly divided into two groups: one group (YAG laser group, 43 cases) underwent YAG laser resection of vocal cord polyp under fibrolaryngoscope, and the other group (40 cases with support-laryngoscope microsurgery group) underwent resection of vocal cord polyp under supporting laryngoscope microscope. Voice acoustic analysis was performed on all patients before operation, 2 weeks after operation and 4 weeks after operation, and the results were compared between the two groups. Results the NNE value in YAG laser group was significantly higher than that in support laryngoscope group at 2 weeks after operation (P0.05), but there was no significant difference between the two groups at 4 weeks after operation (P0.05). Conclusion there is no significant difference between YAG laser surgery and microsurgery under laryngoscope in the treatment of vocal cord polyps, but the recovery of voice function in the microsurgery group is faster than that in the YAG laser group. For special professionals and patients with high voice requirements, microlaryngoscopic surgery under general anesthesia is recommended.
【作者单位】：河南省人民医院耳鼻咽喉科;
【分类号】：R767

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