直接喉镜与电子喉镜下手术治疗会厌囊肿疗效比较

目的:探讨直接喉镜和电子喉镜下会厌囊肿摘除术的手术方法及各自的优缺点.方法:会厌囊肿患者72例,随机分为两组,治疗组38例行电子喉镜下手术,对照组34例行直接喉镜下手术.两组患者均在术前及术后1个月、5个月行电子喉镜检查,观察并比较两组术后疗效.结果:术后随访1～3 a,治疗组治愈34例、好转2例、未愈2例,治愈率89.4％；对照组治愈23例、好转6例,未愈6例,治愈率64.7％.两组患者治愈率比较,差异有统计学意义(P＜0.01).结论:电子喉镜下会厌囊肿摘除属微创手术,具有视野清晰、操作准确、创伤小、痛苦少、花费少等优点,值得临床推广.

Therapeutic Effects between Surgical Procedures with Direct Laryngoscope and Electronic Laryngoscope on Epiglottis Cyst

Objective ：To investigate the advantages and disadvantages between the surgical procedures with direct laryngoscope and electronic laryngoscope on epiglottis cyst. Methods ：72 patients with epiglottis cyst were randomly divided into two groups, 38 cases in the treatment group were treated with electronic laryngoscope surgery and 34 cases in the control group were treated with direct laryngoscope surgery. Both groups were checked by electronic laryngoscopic before the operation and 1 month, 5 months after operation. The effects of two groups were compared. Results：Patients were followed up for 1 - 3 years after operation. The cure rate of control group was 64.7% （22 cases） , 6 cases got better and 6 cases was uncured. The cure rate was 89.4% （34cases） in the treatment group, 2 cases got better and 2 cases were uncured. The chi -square test was statistically significant between cure rate of two groups （P 〈 0.01 ）. Conclusions：Electronic laryngoscope on epiglottis cyst is a minimally invasive operation. This method can be easily operated with the advantages of less pain and desirable effect, thus worth popularizing in clinical otolaryngology.