文章摘要
袁存立,刘勇,郑成彩,晁方.喉镜下低温等离子射频消融改良术治疗声带白斑切除的疗效分析[J].济宁医学院学报,2022,45(3):200-203
喉镜下低温等离子射频消融改良术治疗声带白斑切除的疗效分析
The Efficacy of modified cryogenic plasma vocal cord leukoplakia resection under laryngoscopy
投稿时间:2021-12-09  
DOI:10.3969/j.issn.1000-9760.2022.03.011
中文关键词: 生理盐水;低温等离子射频;声带白斑
英文关键词: Saline;Cryogenic plasma RF;Vocal cord leukoplakia
基金项目:
作者单位
袁存立 日照市中心医院, 日照 276800 
刘勇 日照市中心医院, 日照 276800 
郑成彩 日照市中心医院, 日照 276800 
晁方 日照市人民医院, 日照 276826 
摘要点击次数: 0
全文下载次数: 0
中文摘要:
      目的 探讨采用在黏膜下注射生理盐水,辅助喉镜下低温等离子射频消融术切除声带白斑的临床疗效。方法 选取2016年2月-2019年10月入院诊治的43例声带白斑病例作为研究对象,随机分配观察组(n=24)及对照组(n=19),观察组患者采用黏膜下注射生理盐水辅助低温等离子射频消融手术切除白斑,对照组患者采用单纯的喉镜下低温等离子射频消融术治疗。术后随访分析两种方法的临床疗效。结果 观察组平均手术时间(6.74±2.45)min,对照组为(15.11±2.66)min;观察组术中出血量平均为(0.18±0.06)ml,对照组术中出血量平均为(0.42±0.16)ml;观察组NRS疼痛评分(0.89±0.19)分,对照组为(2.57±0.85)分;术后观察组VHI主观评分(49.42±4.87)分,对照组为(52.68±4.91)分;观察组嗓音恢复较对照组好,观察组3年复发率较对照组低。两组间手术时间、术中出血、NRS疼痛评分、术后VHI主观评分以及复发率比较差异均具有统计学意义(P<0.05)。结论 通过黏膜下注射生理盐水的手段,辅助喉镜下低温等离子射频消融术治疗声带白斑安全有效,术后舒适、嗓音恢复好,该手术方法更加完善,值得临床推广。
英文摘要:
      Objective To investigate the clinical effect of cryogenic plasma assisted by submucosal saline injection under laryngoscopy to remove vocal cord leukoplakia.Methods 43 cases with vocal cord leukoplakia in hospital during Feb.2016 to Oct.2019 were selected,randomly assigned to observation group(n=24) and control group(n=19).Patient's vocal cord leukoplakia in the observation group was surgically removed by low-temperature plasma radio frequency ablation assisted by injection of normal saline into submucosal,while that of the control group was treated with pure plasma RF without injection of saline.Postoperative follow-up investigated the clinical efficacy of both methods.Results The average duration of surgery in the observation group was 6.74±2.45min,while that of the control group was 15.11±2.66min.The average intraoperative blood loss in the observation group was 0.18±0.06ml,while the average intraoperative blood loss in the control group was 0.42±0.16ml.Postoperative NRS pain score was 0.89±0.19 in the observation group and 2.57±0.85 in the control group.The subjective VHI score was 49.42±4.87 points in the observation group and 52.68±4.91 points in the control group.The sound recovery of the observation group was better than that of the control group,and the 3-year recurrence rate of the observation group was lower than that of the control group.The differences in all of the above groups were statistically significant(P< 0.05).Conclusion The innovation of cryogenic plasma assisted by submucosal saline injection to resect vocal cord leukoplakia is more minimally invasive,more comfortable after surgerywith better voice recovery for patients,so this surgical method is better and more worth clinical promotion.
查看全文   查看/发表评论  下载PDF阅读器

分享按钮

漂浮通知

  X

近期,网上出现以《济宁医学院学报》杂志社的名义制造的虚假网站,诱骗作者在线投稿,骗取作者版面费或收取中介费,造成恶劣影响。在此提醒广大作者,审慎辨别,谨防上当。 投稿警示:我刊对所有来稿均不收取审稿费。 投稿方式:登录济宁医学院官方网站,在左下方点击“济宁医学院学报”进入《济宁医学院学报》网页,点击作者登录,注册新用户,然后在线投稿。