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时间:2020-05-19
《声带良性病变手术疗效的相关影响因素分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·五官医学中国当代医药2015年4月第22卷第11期声带良性病变手术疗效的相关影响因素分析陈志鹏彭伟李文生沈康熊姗姗深圳市龙岗区第二人民医院耳鼻喉科,深圳518100【摘要】目的探讨影响声带良性病变手术疗效的相关危险因素,为临床提供参考。方法回顾性分析深圳市龙岗区第二人民医院耳鼻喉科2011年1月~2013年3月收治的行手术治疗的声带良性病患者72例的临床资料.对影响治愈率的相关因素进行单因素分析,并将有统计学意义的单因素进行多因素非条件Logistic回归分析。结果单因素分析显示,病变范围、单双侧声带病变、手术方式、术前声带
2、是否肥厚、术后是否应用激素及术后是否嗓音锻炼是影响声带良性病变手术疗效的危险因素,差异有统计学意义(P<0.05)。多因素非条件Logistic回归分析显示,病变范围、单双侧声带病变、手术方式、术前声带是否肥厚等指标是影响声带良性病变手术疗效的独立危险因素,差异有统计学意义(P<0.05)。结论病变范围、单双俱j声带病变、手术方式、术前声带是否肥厚等指标是影响声带良性病变手术疗效的独立危险因素。【关键词】声带良性病变;疗效;危险因素【中图分类号】R767.91【文献标识码】A【文章编号】1674—4721(2015)04(b)
3、一0084—03TherelatedinfluencefactoranalysisofcurativeeffectforbenignlesionofvocalcordCHENZhi-pengPENGWeiLIWen-shengSHENKangXIONGShan-shanDepartmentofOtorhinolaryngology,theSecondPeopleSHospitalofLonggangDistrictinShenzhenCity,Shenzhen518100,China【Abstract】0bjectiveToe
4、xploretheassociatedriskfactorinfluencingthecurativeeffectforbenignlesionofvocalcordtoprovidereferenceforclinic.MethodsClinicaldataof72patientswithbenignlesionofvocalcordtreatedindepartmentofotorbinolaryngologyoftheSecondPeopleSHospitalofLonggangDistrictinShenzhenCit
5、yfromJanuary2011toMarch2013wereretrospectivelyanalyzed,therelatedfactorforinfluencingthecureratewasconductedasin—glefactoranalysis,andsinglefactorhavingstatisticalsignificancewasconductedmanyfactorsofunconditionalLogisticregressionanalysis.ResultsSinglefactoranalysi
6、sshowedthatscopelesion,singleanddoublesidevocalcordlesion,surgicalapproach,whetherpreoperativevocalcordwithhypearophyornot,whetherapplyinghormoneafteroperationornot,andwhetherpostoperativevoiceexerciseornotwereriskfactorsofinfluencingthecurativeeffectforbenignlesion
7、ofvocalcord,andtherewasastatisticaldifference(P<0.05).ManyfactorsunconditionalLogisticregressionanalysisre-vealedthatscopelesion,singleanddoublesidevocalcordlesion,surgicalapproach,whetherpreoperativevocalcordwithhype~rophyornotandotherindicatorswereindependentriskf
8、actorsofinfluencingthecurativeeffectforbenignlesionofvocalcord,andtherewasastatisticaldifference(P<0.05).ConclusionScopelesion,singleanddo
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