喉动态镜下会厌囊肿低温射频消融术与传统支撑喉镜手术临床应用对比(1)
[摘要]目的 对比喉动态镜下低温射频消融术与传统支撑喉镜治疗会厌囊肿的临床效果。方法 选取2015年4月～2016年6月我院收治的90例会厌囊肿患者为研究对象，将所有患者随机分为两组，各45例。对照组采用传统支撑喉镜治疗，观察组采用喉动态镜下低温射频消融术治疗，对比两组手术情况、会厌囊肿评分、并发症发生率及复发情况。结果 观察组患者手术时间、术中出血量及术后痊愈时间均低于对照组，差异有统计学意义(P<0.05)。术前两组会厌囊肿评分比较，差异无统计学意义(P>0.05)；术后，观察组会厌囊肿评分明显低于对照组，差异有统计学意义(P<0.05)；两组并发症发生率及复发率比较，差异无统计学意义(P>0.05)。结论 与传统支撑喉镜相比，喉动态镜低温射频消融术具有术后愈合快、并发症少、复发率低、对周围组织损伤较小等特点，在临床应用中值得推广。
[关键词]传统支撑喉镜；喉动态镜；会厌囊肿；低温射频消融术
[中图分类号] R767.5 [文献标识码] A [文章编号] 1674-4721(2017)03(b)-0125-03
[Abstract]Objective To compare the clinical efficacy of low-temperature radiofrequency ablation under laryngostroboscope and traditional laryngoscope in the treatment of epiglottic cyst.Methods 90 patients with epiglottic cyst admitted into our hospital from April 2015 to June 2016 were selected as research object and randomly divided into two groups，45 cases in each group.Control group took traditional laryngoscope，while observation group took low-temperature radiofrequency ablation under laryngostroboscope.The surgery situation，epiglottic cyst score，incidence of complications and recurrence of two groups were compared.Results The surgery time，intra-operative bleeding volume and postoperative recovery time of the observation group was lower than that of the control group (P<0.05).There was no significant difference in the epiglottic cyst score between two groups before surgery (P>0.05)；the epiglottic cyst score of the observation group was significantly lower than that of the control group after surgery (P<0.05).There was no significant difference in the incidence of complications and recurrence rate between two groups (P>0.05).Conclusion Compared with traditional laryngoscope，low-temperature radiofrequency ablation under laryngostroboscope has quick postoperative healing，less complications，low recurrence rate，smaller tissue damage，which is worthy of generalization in clinical application.
[Key words]Traditional laryngoscope；Laryngostroboscope；Epiglottic cyst；Low-temperature radiofrequency ablation
会厌囊肿是指大多发生在会厌黏膜下的囊肿，是喉囊肿疾病中较为特殊的类型，大部分患者由于机械刺激、创伤或慢性炎症引发的黏液腺管受阻，造成腺内分泌物潴留[1-2]。咽部不适、异物感、喉痛等是最其常见的临床症状，严重者甚至出现喉梗阻症状，导致呼吸困难等，威胁患者生命[3-4]。传统手术治疗多于全麻支撑喉镜或表面麻醉间接喉镜下采用会厌囊肿切除、咬除或者电凝烧灼等方法去除囊肿，缓解患者的临床症状[5]。但其长期存在全麻手术风险高、切除不彻底及术野暴露不清等弊端。随着鼻内镜及低温射频消融技术在临床上的逐渐普及，上述问题逐渐得以克服。本研究旨在探讨喉动态镜下低温射频消融术与传统支撑喉镜治疗会厌囊肿的临床效果，现报道如下。
1资料与方法
1.1一般资料
选取2015年4月～2016年6月我院收治的90例会厌囊肿患者作为研究对象，所有患者均经临床确诊，且均表现出咽喉部存在异物感等症状，排除无法耐受此次手术的患者，将所有患者随机分为两组，每组45例。观察组中 ，男27例，女18例；年龄26～70岁，平均(44.23±2.46)岁；病程2～20个月，平均(6.38±2.21)个月；囊肿直径为0.5～1.5 cm，平均(0.76±0.34)cm。對照组中，男24例，女21例；年龄25～68岁，平均(45.08±2.18)岁；病程2～18个月，平均(6.49±2.27)个月；囊肿直径0.4～1.5 cm，平均直径(0.75±0.28)cm。两组一般资料比较，差异无统计学意义(P>0.05)，具有可比性。 (程炳文 胡利群 徐萍梅)
[关键词]传统支撑喉镜；喉动态镜；会厌囊肿；低温射频消融术
[中图分类号] R767.5 [文献标识码] A [文章编号] 1674-4721(2017)03(b)-0125-03
[Abstract]Objective To compare the clinical efficacy of low-temperature radiofrequency ablation under laryngostroboscope and traditional laryngoscope in the treatment of epiglottic cyst.Methods 90 patients with epiglottic cyst admitted into our hospital from April 2015 to June 2016 were selected as research object and randomly divided into two groups，45 cases in each group.Control group took traditional laryngoscope，while observation group took low-temperature radiofrequency ablation under laryngostroboscope.The surgery situation，epiglottic cyst score，incidence of complications and recurrence of two groups were compared.Results The surgery time，intra-operative bleeding volume and postoperative recovery time of the observation group was lower than that of the control group (P<0.05).There was no significant difference in the epiglottic cyst score between two groups before surgery (P>0.05)；the epiglottic cyst score of the observation group was significantly lower than that of the control group after surgery (P<0.05).There was no significant difference in the incidence of complications and recurrence rate between two groups (P>0.05).Conclusion Compared with traditional laryngoscope，low-temperature radiofrequency ablation under laryngostroboscope has quick postoperative healing，less complications，low recurrence rate，smaller tissue damage，which is worthy of generalization in clinical application.
[Key words]Traditional laryngoscope；Laryngostroboscope；Epiglottic cyst；Low-temperature radiofrequency ablation
会厌囊肿是指大多发生在会厌黏膜下的囊肿，是喉囊肿疾病中较为特殊的类型，大部分患者由于机械刺激、创伤或慢性炎症引发的黏液腺管受阻，造成腺内分泌物潴留[1-2]。咽部不适、异物感、喉痛等是最其常见的临床症状，严重者甚至出现喉梗阻症状，导致呼吸困难等，威胁患者生命[3-4]。传统手术治疗多于全麻支撑喉镜或表面麻醉间接喉镜下采用会厌囊肿切除、咬除或者电凝烧灼等方法去除囊肿，缓解患者的临床症状[5]。但其长期存在全麻手术风险高、切除不彻底及术野暴露不清等弊端。随着鼻内镜及低温射频消融技术在临床上的逐渐普及，上述问题逐渐得以克服。本研究旨在探讨喉动态镜下低温射频消融术与传统支撑喉镜治疗会厌囊肿的临床效果，现报道如下。
1资料与方法
1.1一般资料
选取2015年4月～2016年6月我院收治的90例会厌囊肿患者作为研究对象，所有患者均经临床确诊，且均表现出咽喉部存在异物感等症状，排除无法耐受此次手术的患者，将所有患者随机分为两组，每组45例。观察组中 ，男27例，女18例；年龄26～70岁，平均(44.23±2.46)岁；病程2～20个月，平均(6.38±2.21)个月；囊肿直径为0.5～1.5 cm，平均(0.76±0.34)cm。對照组中，男24例，女21例；年龄25～68岁，平均(45.08±2.18)岁；病程2～18个月，平均(6.49±2.27)个月；囊肿直径0.4～1.5 cm，平均直径(0.75±0.28)cm。两组一般资料比较，差异无统计学意义(P>0.05)，具有可比性。 (程炳文 胡利群 徐萍梅)