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目的:分析影响声带息肉手术的因素,以提高手术成功率和手术效果。方法:将2792例声带息肉手术患者分为间接喉镜下切除息肉组(A组)、纤维喉镜下切除息肉组(B组)和支撑喉镜下切除息肉组(C组),并对影响手术的因素进行分析。结果:A组、B组和C组的手术失败率分别为6.46%、4.12%、1.53%;并发症发生率分别为0.19%,0,1.16%;影响各组手术的因素中,患者的个体状况分别为61.77%,6.67%,85.71%;息肉类型分别为27.94%,60.00%,0;手术者经验分别为30.88%,46.67%,0;手术器械分别为8.82%,13.33%,14.29%;麻醉分别为16.18%,33.33%,0。结论:除B组外患者的个体状况是导致各组声带息肉切除术失败的主要原因,麻醉则是支撑喉镜手术并发症的主要原因。
Objective: To analyze the factors affecting the vocal cord polyp surgery to improve the success rate of surgery and surgical results. Methods: 2792 patients with vocal cord polyp surgery were divided into indirect laryngoscope polyps group (A group), fibrous laryngoscope polyp group (B group) and laryngoscope polyp group (C group) The factors of surgery were analyzed. Results: The failure rates of group A, group B and group C were 6.46%, 4.12% and 1.53% respectively. The incidences of complications were 0.19% and 0,1.16% respectively. Among the factors influencing the operation of each group, The status of the polyps were respectively 61.77%, 6.67% and 85.71%. The types of polyps were 27.94% and 60.00% respectively. The experience of the surgeons was 30.88% and 46.67% respectively. The surgical instruments were 8.82%, 13.33% and 14.29% Anesthesia was 16.18%, 33.33%, 0 respectively. CONCLUSION: The individual status of patients except group B is the main reason for the failure of vocal cord polypectomy in each group. Anesthesia is the main reason for supporting the complications of laryngoscopy.