纤维喉镜下YAG激光与显微支撑喉镜下治疗声带息肉疗效比较

目的:比较和评价纤维喉镜下激光治疗与支撑喉镜下切除声带息肉的效果,为临床治疗提供参考。方法:91例声带息肉患者,52例在纤维喉镜下激光治疗,39例在支撑喉镜下显微手术切除。结果:纤维喉镜下激光治疗声带息肉及小结显效36例,显效率69.2%,支撑喉镜下显微手术切除声带息肉及小结显效32例,显效率82%,两组差异有显著性。结论:对于特殊职业及嗓音要求高的职业建议在全麻显微支撑喉镜下手术,慎选纤维喉镜下激光治疗。

Comparison of the therapeutic effects of surgical procedure with selfretaining laryngoscope and fiber laryngoscope in voval polyp

Objective:To compare the therapeutic effects of surgical procedure with selfretaining laryngoscope(SRL)and fiber laryngoscope(FL)in vocal polyp.Methods:91 patients with vocal polyp were included in this study.They were randomly divided into 2 groups,with 23 case in group 1 treated with SRL under general anesthesia and another 68 case in group 2 treated with FL under superficial mucosal anesthesia.Results:In the group of cases with SRL,the cure rate was 95.6%,In the group of cases with electronic laryngoscope,the cure rate was 88.2%.There was significant difference in the cure rate between them(P<0.01).Conclusion:The special occupation is chosen for the laser under fiber laryngoscope treatment carefully.