支撑喉镜联合内镜切除术对声带息肉患者嗓音功能及生活质量的影响

Effect of combined suspension laryngoscopic and endoscopic resection of vocal cord polyps on voice function and quality of life of patients

摘要:

目的 探讨支撑喉镜联合内镜切除术对声带息肉患者嗓音功能及生活质量的影响。方法 选取2017年7月—2020年6月浙江衢化医院收治的声带息肉患者152例，随机分为观察组和对照组，每组76例。对照组患者采用单纯支撑喉镜切除治疗，观察组采用支撑喉镜联合内镜切除治疗。比较两组的疗效、嗓音功能、生活质量及并发症发生情况。结果 观察组治疗后总有效率高于对照组（P <0.05）。观察组治疗前后谐噪比升高的幅度大于对照组，标准化噪声能量、基频微扰、振幅微扰降低的幅度大于对照组。观察组手术前后生活质量综合评定问卷-74中躯体健康、心理健康、物质生活及社会功能各维度评分的差值大于对照组（P <0.05）。观察组并发症总发生率低于对照组（P <0.05）。结论 支撑喉镜联合内镜切除术治疗声带息肉可以恢复嗓音功能，提高生活质量，降低并发症发生风险。

Abstract:

Objective To investigate the effect of combined suspension laryngoscopic and endoscopic resection of vocal cord polyps on voice function and quality of life of patients.Methods A total of 152 patients with vocal cord polyps admitted to our hospital from July 2017 to June 2020 were randomly divided into observation group and control group, with 76 patients in each group. Patients in the control group were treated with suspension laryngoscopic surgery alone, while patients in the observation group were treated with combined laryngoscopic and endoscopic resection of vocal cord polyps. The therapeutic effect, voice function, quality of life and complications were compared between the two groups.Results The overall effective rate after treatment in the observation group was significantly higher than that in the control group (P < 0.05). The degree of increase in harmonic to noise ratio after treatment was higher in the observation group, whereas the degree of decrease in normalized noise energy (NNE), jitter and shimmer after treatment was higher in the observation group compared with the control group (P < 0.05). The differences of scores of physical function, mental function, material life and social function as assessed via Generic Quality of Life Inventory-74 (GQOLI-74) before and after the treatment were greater in the observation group (P < 0.05). In addition, the overall incidence of complications in the observation group was significantly lower than that in the control group (P < 0.05).Conclusions Combined suspension laryngoscopic and endoscopic resection of vocal cord polyps can restore voice function, improve quality of life and reduce the risk of complications.