To explore the clinical effect of laryngoscope combined with endoscopic sinus surgery in the treatment of vocal polyp.
探究支撑喉镜联合鼻内镜手术治疗声带息肉的临床效果观察

摘要

目的 分析声带息肉患者经支撑喉镜与鼻内镜联合手术治疗的效果，探讨术后并发症的预防措施与术后康复措施。方法 选取2020年1月-2021年4月本院收治的声带息肉患者74例，按照就诊时间将其分为对照组和观察组，对照组行支撑喉镜联合鼻内镜手术治疗，观察组于支撑喉镜联合鼻内镜手术治疗的基础上，给予预防与康复措施，对比两组患者治疗疗效、术后疼痛、噪音学指标等。结果 观察组治疗有效率、噪音学指标优于对照组，数据差异具有统计学意义（P<0.05），观察组术后复发率、并发症发生率、术后VAS评分低于对照组，数据差异具有统计学意义（P<0.05）。结论 给予声带息肉患者支撑喉镜联合鼻内镜手术治疗方法，能够显著提高治疗效果和一次切除成功率，通过预防与康复措施，进而降低并发症发生率，很大程度上避免复发，优化术后康复情况。

Abstract

Objective to analyze the effect of combined operation of laryngoscope and nasal endoscope in patients with vocal cord polyps, and to explore the preventive measures and postoperative rehabilitation measures of postoperative complications.
Methods 74 patients with vocal cord polyps were selected from January 2020 to April 2021. According to the time of treatment, 74 patients were divided into control group and observation group. The control group was treated with support laryngoscope combined with vocal cord polypectomy, observation group was treated with supporting laryngoscope and endoscopic surgery, and preventive and rehabilitation measures were given. The therapeutic effect, postoperative pain and noise index were compared between the two groups.
Results the treatment efficiency and noise index of the observation group were better than that of the control group, the data difference was statistically significant (P<0.05), the incidence of complications and VAS score of the observation group were lower than that of the control group (P<0.05).
Conclusion   the treatment of vocal cord polyp patients with laryngoscope combined with endoscopic surgery can significantly improve the treatment effect and the success rate of primary resection. Through prevention and rehabilitation measures, the incidence of complications can be reduced, recurrence can be avoided to a large extent and the postoperative recovery can be optimized.