可视支撑喉内镜下喉功能性手术

摘要

Objective To explore the feasibility of functional laryngeal surgery under self-retaining laryngoscope and rigid telescope with video system.Methods 160 cases suffering from benign laryngeal tumors were randomly divided into two groups.80 patients of the study group received minimally invasive surgery under self-retaining laryngoscope and rigid telescope with video system while those of the control group (n =80) received microsurgery under surgical microscope.The operation time,hospital stay,phonation recovery time,surgical effect and complications were compared between the two groups.Results Statistical analysis showed that the operation time of the study group (11.38 ± 4.65 min) was significantly shorter than that of the control group (20.72 ± 3.23 min) (P ＜ 0.01).The differences of other parameter between the two groups were all statistically insignificant (all P ＞ 0.05).Conclusion With advantages of short operation time and less surgical difficulty,functional laryngeal surgery is feasible under self-retaining laryngoscope and rigid telescope with video system.%目的 探讨可视支撑喉内镜下喉功能性手术的可行性.方法 喉部良性疾病患者160例,随机等分为两组,即可视支撑喉内镜组(研究组)80例,传统显微镜支撑喉镜手术组(对照组)80例.手术显微器械相同,手术由同一人完成.对两组的手术时间、住院时间、发音恢复时间、手术常见并发症及疗效等方面进行统计分析.结果 手术时间:研究组(11.38 ±4.65) min,对照组(20.72±3.23) min,二者比较差异具有统计学意义(P＜0.01).其他手术疗效、平均住院日及手术并发症等均无统计学意义(P＞0.05).结论 可视支撑喉内镜功能性手术治疗结果和手术并发症与传统的显微镜功能性手术没有差别,而在手术时间、操作难度等方面具有优势,可视支撑喉内镜功能性手术是可行的.