角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應用

孟立新　李健　趙亮 盧宣樺　蘇云緲

【摘要】 目的：探究角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應用效果。方法：選擇筆者所在醫院2016年10月-2019年10月收治的23例聲帶腫物患者作為研究對象，采用隨機數字表法將其分成對照組（11例）和研究組（12例），對照組采用支撐喉鏡下聲帶病變切除術治療，研究組采用30°鼻內鏡聯合支撐喉鏡下聲帶病變切除術治療，對比兩組聲帶腫物暴露率、治療總有效率及術后并發癥發生率。結果：研究組聲帶腫物暴露率、治療總有效率均高于對照組，術后并發癥發生率低于對照組，差異均有統計學意義（P<0.05）。結論：角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應用效果顯著，值得臨床應用和推廣。

【關鍵詞】 角度鏡 支撐喉鏡 聲帶腫物暴露困難 應用

doi：10.14033/j.cnki.cfmr.2020.16.012 文獻標識碼 B 文章編號 1674-6805（2020）16-00-03

The Clinical Application of Angle Mirror in the Difficult Exposure of Vocal Cord Mass under Supporting Laryngoscope/MENG Lixin， LI Jian， ZHAO Liang， LU Xuanhua， SU Yunmiao. //Chinese and Foreign Medical Research， 2020， 18（16）： -34

[Abstract] Objective： To explore the clinical effect of angle mirror on the difficulty of vocal cord mass exposure under supporting laryngoscope. Method： A total of 23 patients with vocal cord tumor admitted to our hospital from October 2016 to October 2019 were selected as the study objects. They were divided into the control group （11 cases） and the study group （12 cases） by random number table method. The control group was treated by vocal cord lesion resection under the support laryngoscope， and the study group was treated by vocal cord lesion resection under the 30 ° nasal endoscope combined with the support laryngoscope. The exposure rate， total effective rate and incidence of postoperative complications were compared between the two groups. Result： The exposure rate of vocal cord tumor and the total effective rate of treatment in the study group were higher than those in the control group， and the incidence of postoperative complications in the study group was lower than that in the control group， the differences were statistically significant （P<0.05）. Conclusion： The clinical application of the angle mirror in the difficult exposure of vocal cord tumor under the supporting laryngoscope is significant， and it is worth clinical application and promotion.

[Key words] Angle mirror Supporting laryngoscope Vocal cord mass exposure difficulty Application

First-authors address： Hechi Peoples Hospital， Hechi 547000， China

聲帶腫物是指聲帶有異常的新生物，按照腫物的病理性質來看，可分為良性腫物和惡性腫物兩種類型，其中，以良性腫物最為多見，聲帶良性腫物較小時，雖不會對患者生命安全構成致命威脅，但是，易引發其出現聲音嘶啞、咽干、咽部微痛等不適癥狀，隨著腫物持續增大，則會引發其出現呼吸困難、窒息等癥狀，從而易威脅其生命安全，因此，臨床需盡早采取腫物切除術對患者進行治療，才能改善其預后[1]。既往，臨床多采用支撐喉鏡下聲帶病變切除術對患者治療，雖有一定的效果，但有一部分病例支撐喉鏡難以暴露術野，從而易影響手術順利進行和治療效果[2-3]。筆者所在醫院嘗試采用30°鼻內鏡（30°鼻內鏡屬于一種角度鏡）聯合支撐喉鏡下聲帶病變切除術對患者治療，獲得了滿意效果，現將角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應用效果分析報告如下。……