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[使用CO2激光进行双边声带的同时双边和单边后声带切除的比较研究]

J Y Peng¹, H L Zheng¹, S C Chen¹

¹Department of Otorhinolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.

Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery

|April 3, 2025

概括

与双边切除相比,单边后声带切除在双边声带中提供了更好的语音和吞功能恢复. 然而,双边切除显示出更高的一次性输出率,可能减少重新手术的需要.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
喉外科手术喉外科手术
激光手术激光手术是一种激光手术.

背景情况:

双边声带麻在气道管理和声功能方面带来了重大挑战.
内镜CO2激光后部带状切除术是一种治疗选择,可以考虑单边和双边的方法.

研究的目的:

为了比较单边和双边后声带切除使用CO2激光治疗双边声带的疗效.
分析术后的结果,包括两种手术方法之间的吞功能,口腔大小和声乐功能.

主要方法:

对110名双边声带的患者进行了回顾性分析,这些患者接受了内镜CO2激光后部带状切除术.
在单侧 (n=63) 和双侧 (n=47) 带状切除组之间,术前和术后的吞功能,喉腔大小和声功能 (主观和客观) 的比较.
使用威尔科克森签名等级和曼-惠特尼U测试进行统计分析.

主要成果:

与单边切除组 (71.4%) 相比,双边切除组的单次切除率 (87.2%) 显著更高.
在手术后,单侧带切除术在一周后显著改善了吞功能的得分,后侧喉直径更小.
声功能评估 (GRBAS,VHI-10,动,闪,HNR,MPT) 在单边带状切除组显著改善.

结论:

用二氧化碳激光进行单侧后声带切除是有效的,提供更快的恢复,保存声管功能,以及双边声带的并发症较少.
双边切除显示出更高的一次性输出率,可能简化了气道管理.
这些发现为选择治疗双边声带的手术方法提供了指导.

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