标题：全麻支撑喉镜联合电子喉镜行射频揭盖术治疗会厌囊肿30例

      作者：薛远琼，阮奕劲，朱怀文
    (中山市陈星海医院耳鼻喉科，广东 中山 528415)

      卷次： 2015年26卷14期

      【摘要】 目的 观察全麻支撑喉镜联合电子喉镜行射频揭盖术治疗会厌囊肿的疗效。方法 选取我院耳
鼻喉科收治的会厌囊肿患者60例，随机分为观察组和对照组，每组30例。对照组在全麻下行支撑喉镜下圈套器
圈套治疗，观察组行全麻支撑喉镜联合电子喉镜行射频揭盖术治疗。记录两组患者的手术时间和术中出血量。
术后采用门诊随访的形式，随访12个月以上，观察患者术后治疗效果。结果 观察组和对照组手术时间分别为
(12.8±3.2) min和(46.5±8.6) min，术中出血量分别为(2.2±0.3) ml和(10.4±2.6) ml，观察组手术时间和术中出血量显
著低于对照组，差异均有显著统计学意义(P<0.01)。随访 6个月时，观察组和对照组总有效率分别为 96.67%和
86.67%，复发率分别为3.33%和13.33%；随访12个月时，观察组和对照组总有效率分别为93.33%和76.67%，复发
率分别为6.67%和23.33%；观察组总有效率明显高于对照组，复发率显著低于对照组，差异均有统计学意义(P<
0.05或P<0.01)。结论 全麻支撑喉镜联合电子喉镜行射频揭盖术治疗会厌囊肿疗效好，且具有手术时间短、出
血量少的特点。

      【关键词】全麻；支撑喉镜；电子喉镜；射频；会厌囊肿

      【中图分类号】 R782.2 【文献标识码】 A 【文章编号】 1003—6350（2015）14—2077—03


Clinical effect of radio-frequency and marsupialization under self-retaining laryngoscope combined with
electronic laryngoscope in general anesthesia in the treatment of epiglottic cyst.
XUE Yuan-qiong, RUAN Yi-jin,
ZHU Huai-wen. Department of E.N.T., the Chen Xinghai Hospital of Zhongshan City, Zhongshan 528415, Guangdong,
CHINA

【Abstract】 Objective To investigate the clinical effect of radio-frequency and marsupialization under self-re-
taining laryngoscope combined with electronic laryngoscope in general anesthesia in the treatment of epiglottic cyst.
Methods Sixty patients with epiglottic cyst in our hospital were randomly divided into observation group and control
group, with 30 cases in each group. Patients in control group were treated with snare trap treatment under self-retaining
laryngoscope in general anesthesia, while patients in observation group were treated with radio-frequency and marsupial-
ization under self-retaining laryngoscope combined with electronic laryngoscope in general anesthesia. Operation dura-
tion and blood loss were recorded. A postoperative follow-up of more than 12 months were made, and the curative effect
was investigated. Results The operation duration of observation group and control group were (12.8 ± 3.2) min and
(46.5±8.6) min, respectively, and the blood loss were (2.2±0.3) ml and (10.4±2.6) ml, respectively. The operation dura-
tion and blood loss of the observation group was significantly lower than that of control group (P<0.01). Six months after
operation, total effective rate of observation group and control group were 96.67% and 86.67%, and the reoccurrence rate
were 3.33% and 13.33%, respectively. Twelve months after operation, the total effective rate of observation group and
control group were 93.33% and 76.67%, and the reoccurrence rate were 6.67% and 23.33%, respectively. The total effec-
tive rate of observation group was significantly higher than that of control group (P<0.01), while reoccurrence rate was
significantly lower than that of control group (P<0.01 or P<0.05). Conclusion For treating epiglottic cyst, radio-fre-
quency and marsupialization under self-retaining laryngoscope combined with electronic laryngoscope in general anesthe-
sia could significantly enhance the curative effect, with the feature of shorter operation duration and less blood loss.

      【Key words】 General anesthesia; Self-retaining laryngoscope; Electronic laryngoscope; Radio-frequency; Epi-
glottic cyst