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[目的]探究支撑喉镜下声带息肉切除手术并发症的发生原因及预防措施。[方法]抽取2014年12月—2016年2月择期行支撑喉镜下声带息肉切除手术的患者128例,均于支撑喉镜下实施声带息肉切除手术。术后2周进行随访,统计治疗效果及并发症发生情况,并探讨其预防措施。[结果]本组128例患者,其中60例广基息肉患者显效46例,有效12例,无效2例,总有效率为96.67%(58/60);68例带蒂息肉患者显效53例,有效13例,无效2例,总有效率为97.06%(66/68);本组并发症发生19例次,发生率14.82%,其中血压降低0.78%(1/128)、血压增高0.78%(1/128)、角膜损伤1.56%(2/128)、喉痉挛0.78%(1/128)、出血2.34%(3/128)、心动过速0.78%(1/128)、心动过缓1.56%(2/128)、声门暴露困难1.56%(2/128)、口唇损伤0.78%(1/128)、味觉减退或伸舌偏斜或舌体麻木2.34%(3/128)、牙齿损伤0.78%(1/128)、软腭与前柱损伤0.78%(1/128)。[结论]在支撑喉镜下声带息肉切除手术中,操作不当、麻醉效果、支撑喉镜刺激等因素均可导致患者术后发生并发症,应于围手术期采取对应干预措施,减少并发症发生。
[Objective] To explore the causes and preventive measures of complications of vocal cord polyp excision under support laryngoscope. [Methods] A total of 128 patients undergoing vocal cord polyp resection under elective laryngoscope between December 2014 and February 2016 were enrolled in this study. Vocal cord polypectomy was performed under the support of laryngoscope. Follow-up was performed 2 weeks after operation, and the effect of treatment and complication were analyzed. The preventive measures were also discussed. [Results] Among the 128 patients in this group, 60 cases of broad-based polyps were markedly effective in 46 cases, effective in 12 cases and ineffective in 2 cases, with a total effective rate of 96.67% (58/60); 68 cases of pedunculated polyps were markedly effective in 53 cases, The total effective rate was 97.06% (66/68). The complication occurred in 19 cases, the incidence rate was 14.82%, of which the blood pressure decreased 0.78% (1/128) and the blood pressure increased 0.78% Corneal injury 1.56% (2/128), laryngospasm 0.78% (1/128), hemorrhage 2.34% (3/128), tachycardia 0.78% (1/128), bradycardia 1.56% (2/128), 1.56% (2/128) in glottis exposure, 0.78% (1/128) in lip injury, skewed taste or skewed tongue or 2.34% (3/128) in tongue numbness, 0.78 % (1/128), soft palate and anterior column injury 0.78% (1/128). [Conclusion] In the operation of vocal cord polyp resection with laryngoscope support, improper operation, anesthetic effect and laryngoscope support may lead to postoperative complications. Perioperative intervention should be taken to reduce the incidence of complications .