喉镜下低温等离子射频术在会厌部囊肿治疗中价值及安全性

摘要

目的：对喉镜下低温等离子射频术在会厌部囊肿治疗中价值及安全性进行探讨。方法：选取80例会厌囊肿患者作为研究对象。按照随机对照原则分为研究组和对照组。研究组给予喉镜下低温等离子射频术，对照组给予传统手术方式治疗。对两组患者手术时间、出血情况及临床疗效进行比较。结果：(1)研究组患者手术时间（15.3±4.9）min、术中出血量(2.0±0.4)ml显著小于对照组（34.1±13.7）min、（10.3±2.5）ml，差异均具有显著统计学意义（t=8.17，20.73，P＜0.05）。(2)两组患者治疗总有效率分别为97.5%和95.0%，差异无统计学意义（χ2=0.34，P＞0.05）。(3)研究者并发症发生率为7.5%，显著低于对照组的37.5%，差异具有显著统计学意义（χ2=10.32，P＜0.05）。结论：喉镜下低温等离子射频术具有创伤小、术后并发症少等优点，是一种有效的治疗手段。%Objective: To investigate the value and safety of laryngoscope low temperature plasma radiofrequency in the treatment of epiglottic cyst.Methods:80 patients with epiglottic were chosen as research subjects. They were divided into study group and the control group accordance to the principles of randomized mehod.Study group was given laryngoscope radiofrequency surgery, the control group received conventional surgical treatment. The operation time,bleeding and clinical efficacy were compared.Results:(1)In the study group,the operative time (15.3±4.9) min,blood loss (2.0±0.4)ml were significantly lower than the control group (34.1±13.7)min, (10.3±2.5)ml, the differences had statistically significant (t=8.17,20.73,P<0.05).(2.)the total efficiency of two groups were 97.5% and 95.0% respectively, the difference had no statistically significant (χ2=0.34,P>0.05).(3)The complication rate of the study group was 7.5%, significantly lower than 37.5% in the control group, the difference had statistically significant (χ2=10.32,P<0.05).Conclusion:Laryngoscope radiofrequency surgery with less trauma, fewer complications, etc. is an effective way in the treatment of epiglottic cyst.