The therapeutic effect of plasma resection and vertical hemilaryngectomy under supportive laryngoscopein the treatment of early glottic carcinoma and their impact on pronunciation
支撑喉镜下等离子切除术与垂直半喉切除术在治疗早期声门型喉癌的治疗效果及其对于发音情况的影响

摘要

目的 讨论支撑喉镜下等离子切除术与垂直半喉切除术在治疗早期声门型喉癌的治疗效果及其对于发音情况的影响。方法 选择我院2021年9月到2022年3月之间收治的患有早期声门型喉癌患者100例为主要的研究对象，并将执行不同术式的患者分为观察组（50例）和对照组（50例），观察组的患者执行支撑喉镜下等离子切除术进行治疗，对照组的患者执行垂直半喉切除术进行治疗。比较两组患者经过不同的手术方式之后的主观嗓音情况、发音情况和生活质量的实际改善情况。结果 两组患者在主观嗓音情况及生命质量的各项评分的术前对比，并不具备统计学意义，P＞0.05。术后两组患者在主观嗓音的各项指标均有显著的降低，且术后观察组在主观嗓音的各项指标上好于对照组，且P＜0.05。术后观察组在生活质量的功能、总体生命质量的评分显著好于对照组及术前，且P＜0.05；在症状评分中也显著好于对照组及术前，且P＜0.05。结论 在早期声门型喉癌的治疗中，执行支撑喉镜下等离子切除术相对于垂直半喉切除术对于该疾病的治疗效果更为理想，对于其发音功能的影响比较小，所产生的病理性的嗓音也比较小，对于患者的嗓音功能恢复更为有利，且可以在此基础上提升患者的生活质量。

Abstract

Objective To discuss the therapeutic effects of plasma resection and vertical hemilaryngectomy under supportive laryngoscope in the treatment of early glottic carcinoma and their impact on pronunciation.
Methods A total of 100 patients with early-stage glottic carcinoma admitted to our hospital between September 2021 and March 2022 were selected as the main research subjects. Patients who underwent different surgical procedures were divided into an observation group (50 cases) and a control group (50 cases). Patients in the observation group underwent isoion resection under a supporting laryngoscope for treatment, while patients in the control group underwent vertical hemilaryngectomy for treatment. Compare the subjective voice, pronunciation, and actual improvement in quality of life of two groups of patients after different surgical methods.
Results The preoperative comparison of subjective voice condition and quality of life scores between the two groups of patients did not have statistical significance, P>0.05. After surgery, both groups of patients showed a significant decrease in various indicators of subjective voice, and the observation group showed better subjective voice indicators than the control group, with a P<0.05. The functional and overall quality of life scores of the postoperative observation group were significantly better than those of the control group and preoperative, with P<0.05; In the symptom score, it was also significantly better than the control group and preoperative, and P<0.05.
Conclusion   In the treatment of early glottic carcinoma, plasma resection under support laryngoscope is more ideal than vertical hemilaryngectomy for the treatment of the disease, with less impact on its vocal function and less pathological voice. It is more beneficial for the recovery of voice function in patients, and can improve their quality of life on this basis.