电子喉镜下声带息肉摘除术2652例疗效分析

目的探讨电子喉镜下声带息肉摘除的疗效。方法回顾分析2002年6月。2013年6月2652例电子喉镜下声带息肉摘除患者的临床资料，并对疗效进行分析。结果2652例患者中一次性完成手术2602例，由于息肉巨大或双侧声带息肉靠近前联合，2次完成手术73例，3次完成手术12例，除4例患者手术后声带前端粘连，嗓音恢复较差外，其余患者均恢复满意的嗓音，1402例患者术前及术后3个月进行嗓音声学测试，各参数术前后差异均有统计学意义（P〈0．001）。结论电子喉镜下声带息肉摘除视野清晰，操作准确，具有损失小，痛苦少，疗效确切，恢复快等优点，值得推广应用。

Efficacy analysis of 2652 cases of vVocal cord polyp excision surgery under electronic laryngoscope

Objective To investigate the efficacy of vocal cord polyp excision under electronic laryngoscope. Methods Clinical data of 2652 patients receiving vocal cord polyp excision surgery under electronic laryngoscope from June 2002 to June 2013 were analyzed retrospectively and their efficacy was analyzed. Results Of the 2652 patients,2602 patients completed the surgery once.Due to giant polyp or bilateral vocal cord polyp close to anterior commissure,73 patients completed the surgery twice,and 12 patients completed the surgery 3 times.Except that 4 patients had postoperative adhesive vocal cord front end and poor voice recovery,the other patients regained satisfactory voice.1402 patients received acoustic testing before the surgery and 3 months after the surgery,and each parameter had statistically significant difference between before and after the surgery（P 〈 0.001）. Conclusion Vocal cord polyp excision under electronic laryngoscope has the advantages of clear view,accurate operation,small loss,little pain,accurate efficacy and fast recovery,thereby worthy of promotion and application.