角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應(yīng)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(yīng)用效果。方法：選擇筆者所在醫(yī)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(duì)象，采用隨機(jī)數(shù)字表法將其分成對(duì)照組（11例）和研究組（12例），對(duì)照組采用支撐喉鏡下聲帶病變切除術(shù)治療，研究組采用30°鼻內(nèi)鏡聯(lián)合支撐喉鏡下聲帶病變切除術(shù)治療，對(duì)比兩組聲帶腫物暴露率、治療總有效率及術(shù)后并發(fā)癥發(fā)生率。結(jié)果：研究組聲帶腫物暴露率、治療總有效率均高于對(duì)照組，術(shù)后并發(fā)癥發(fā)生率低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應(yīng)用效果顯著，值得臨床應(yīng)用和推廣。

【關(guān)鍵詞】 角度鏡 支撐喉鏡 聲帶腫物暴露困難 應(yīng)用

doi：10.14033/j.cnki.cfmr.2020.16.012 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 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(zhì)來(lái)看，可分為良性腫物和惡性腫物兩種類(lèi)型，其中，以良性腫物最為多見(jiàn)，聲帶良性腫物較小時(shí)，雖不會(huì)對(duì)患者生命安全構(gòu)成致命威脅，但是，易引發(fā)其出現(xiàn)聲音嘶啞、咽干、咽部微痛等不適癥狀，隨著腫物持續(xù)增大，則會(huì)引發(fā)其出現(xiàn)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(shù)對(duì)患者進(jìn)行治療，才能改善其預(yù)后[1]。既往，臨床多采用支撐喉鏡下聲帶病變切除術(shù)對(duì)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(shù)野，從而易影響手術(shù)順利進(jìn)行和治療效果[2-3]。筆者所在醫(yī)院嘗試采用30°鼻內(nèi)鏡（30°鼻內(nèi)鏡屬于一種角度鏡）聯(lián)合支撐喉鏡下聲帶病變切除術(shù)對(duì)患者治療，獲得了滿(mǎn)意效果，現(xiàn)將角度鏡在支撐喉鏡下聲帶腫物暴露困難中的臨床應(yīng)用效果分析報(bào)告如下?！?br>