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  • Title: [Clinical effect of nasal endoscope combined with supporting laryngoscope surgery in the treatment of polyps of vocal cord and its influence on voice function of patients].
    Author: Zhang HL, Ding HF, Sun W, Huang ZL, Hu Y.
    Journal: Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi; 2019 Mar; 33(3):272-274. PubMed ID: 30813701.
    Abstract:
    Objective:To explore the clinical value of nasal endoscope combined with supporting laryngoscope surgery in the treatment of polyps of vocal cord. Method:Ninety-four patients with vocal cord polyps were randomly divided into the control group (47 cases) and the observation group (47 cases). The patients in the control group were treated with simply supporting laryngoscope surgery while the patients in the observation group were treated with nasal endoscope combined with supporting laryngoscope. The therapeutic effects, voice function changes before and after operation, complications and recurrence of the two groups were observed. Result:The total effective rate was 93.62% in the observation group, compared to 78.72% in the control group, the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was 8.51%, compared with 25.53% in the control group, the difference was statistically significant (P<0.05). Six months after operation, there was no recurrence in the observation group, but the recurrence rate in the control group was 4.26%. There was no significant difference between the two groups (P>0.05). 12 months after operation, the recurrence rate of the observation group was 2.13%, compared with 14.89% of the control group, the difference was statistically significant (P<0.05). Conclusion:Nasal endoscope combined with supporting laryngoscope for vocal cord polyps has a definite effect and can significantly improve the voice function of patients with high safety and low recurrence rate, which is worthy of promotion.. 目的：探讨鼻内镜联合支撑喉镜手术治疗声带息肉的临床价值。方法：将94例声带息肉患者按随机数字表法分为对照组（47例）和观察组（47例）。对照组行单纯支撑喉镜手术，观察组行鼻内镜联合支撑喉镜手术，观察两组疗效、手术前后嗓音功能变化、并发症及复发情况。结果：观察组治疗总有效率为93.62%，与对照组（78.72%）比较，差异有统计学意义（P<0.05）。术前两组嗓音功能差异无统计学意义（P>0.05）；观察组术后2周NNE、Jitter及Shimmer与同期对照组比较，差异有统计学意义（P<0.05）。观察组术后并发症发生率为8.51%，与对照组（25.53%）比较，差异有统计学意义（P<0.05）。术后6个月，观察组未见复发病例，对照组复发率为4.26%（P>0.05）；术后12个月，观察组复发率为2.13%，与对照组（14.89%）比较，差异有统计学意义（P<0.05）。结论：鼻内镜联合支撑喉镜手术治疗声带息肉，疗效确切，可显著改善患者嗓音功能，且安全性高，复发率低，值得推广。.
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