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[1]林川耀,陆 玲,朱光洁,等.电子喉镜在咽喉部异物诊断和治疗的临床应用[J].医学研究与战创伤救治(原医学研究生学报),2014,16(06):610-612，658.[doi:10.3969/j.issn.1672-271X.2014.06.015]
　LIN Chuan-yao,LU Ling,ZHU Guang-jie,et al.Clinical application of electronic laryngoscope in diagnosis and treatment of foreign body in the laryngopharynx[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(06):610-612，658.[doi:10.3969/j.issn.1672-271X.2014.06.015]
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电子喉镜在咽喉部异物诊断和治疗的临床应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年06期
页码:
610-612，658
栏目:
出版日期:
2014-11-20

文章信息/Info

Title:
Clinical application of electronic laryngoscope in diagnosis and treatment of foreign body in the laryngopharynx
作者:
林川耀; 陆 玲; 朱光洁; 高 下; 俞晨杰
210008 江苏南京，南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科
Author(s):
LIN Chuan-yao; LU Ling; ZHU Guang-jie; GAO Xia; YU Chen-jie.
Department of Otolaryngology,the Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China
关键词:
电子喉镜; 咽喉部; 诊断; 治疗; 异物
Keywords:
electronic laryngoscope;  laryngopharynx;  diagnosis;  treatment;  foreign body
分类号:
R766.8
DOI:
10.3969/j.issn.1672-271X.2014.06.015
文献标志码:
A
摘要:
目的 探讨电子喉镜在咽喉部异物诊断和治疗的应用。方法 回顾性分析咽喉部异物6713例，其中传统方式诊断咽喉部异物3331例，并成功治疗2898例，电子喉镜诊断咽喉 部异物1475例，并成功治疗1473例。统计异物在咽喉各部位概率及尖锐异物和非尖锐异物的诊断率。比较电子喉镜和传统方式治疗咽喉各部位异物的成功率。结果 电子喉镜相比传 统方式可以显著提高咽喉部尖锐异物的诊断率，差异有统计学意义(P<0.05)，对非尖锐异物诊断率稍有提高，差异无统计学意义(P>0.05)。咽喉部尖锐异物的诊断率均显著高于非 尖锐异物(P<0.05)。传统方式下咽喉部异物成功取出比例为87.00%，电子喉镜下咽喉部异物成功取出比例为99.86%。结论 电子喉镜诊断和治疗咽喉部异物比传统方式有明显优势， 具有照明充分、定位准确、操作精确的特点，是治疗咽喉部异物方便、快捷、有效的方法。
Abstract:
Objective To investigate the application of electronic laryngoscope in diagnosis and treatment of foreign body in the laryngopharynx.Methods A retrospective analysis was conducted in 6713 patients with laryngopharyngeal foreign body,3331 of which were diagnosed and 2898 were treated successfully by traditional way.1475 of which were diagnosed and 1473 were treated successfully under electronic laryngoscope.Count probability of foreign body in various parts of the laryngopharynx and sharp or non-sharp foreign body related diagnosis rate.The success rate of treating various parts of foreign body in the laryngopharynx by using electronic laryngoscope and traditional way was compared.Results Compared to the traditional way，treating under electronic laryngoscope can significantly improve the diagnostic rate in laryngopharyngeal sharp foreign body (P<0.05),but there was no significance in treating laryngopharyngeal non-sharp foreign body (P>0.05).Related diagnostic rate of laryngopharyngeal sharp foreign body was significantly higher than the non-sharp foreign body (P<0.05).Laryngopharyngeal foreign body successfully removed ratio by traditional way was 87.00%,while under the electronic laryngoscope was 99.86%.Conclusion Electronic laryngoscope with lighting sufficient,accurate positioning and precise operation has obvious advantages over the traditional way in the diagnosis and treatment of laryngopharyngeal foreign body.The treatment of foreign body in the laryngopharynx under electronic laryngoscope is convenient,fast and effective.

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更新日期/Last Update: 2014-11-20