医学临床研究
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医学临床研究  2021, Vol. 38 Issue (11): 1704-1706    DOI: 10.3969/j.issn.1671-7171.2021.11.029
  论著 本期目录 | 过刊浏览 | 高级检索 |
声带白斑患者的临床病理特征及复发的影响因素分析
白锋波1, 车娜2*
1.西安航天总医院耳鼻咽喉科,陕西 西安 710100;
2.西安电力中心医院耳鼻喉科,陕西 西安 710032
Influencing Factors of Clinicopathological Characteristics and Recurrence Risk of Vocal Cord Leukoplakia
BAI Feng-bo, CHE Na
Department of Otorhinolaryngology, Xi'an Aerospace General Hospital, Xi'an Shaanxi, 710100
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摘要 【目的】探讨声带白斑患者的临床病理特征及影响复发的相关因素。【方法】将在本院治疗的声带白斑的患者96例作为观察组,根据患者的病理分型分为高危组(n=15)和低危组(n=81),另根据患者复发情况分为复发组(n=17)和未复发组(n=79),并选择同期在本院进行健康体检者89例作为对照组,分析比较各组的相关临床资料。【结果】(1)观察组和对照组中的男性、年龄>60岁、综合医院抑郁情绪量表(HADD)评分>1分及综合医院焦虑抑郁量表(HADA)评分>1分的比例相比较差异均无显著性(P>0.05);但观察组中吸烟、饮酒、反流症状指数(RSI)>10分、反流体征评分(RFS)>6分、用声过度的比例显著高于对照组,且两组之间比较差异具有显著性(P<0.05)。(2)高危组年龄>60岁及有散在白斑的比例显著高于低危组,且差异有显著性(P<0.05)。(3)复发组年龄>60岁与存在散在白斑的比例显著高于未复发组,且差异具有显著性(P<0.05)。【结论】吸烟、饮酒以及用声过度属于声带白斑的影响因素,合并散在白斑的老年患者属于声带白斑复发的高危人群。
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白锋波
车娜
关键词 声带/损伤白斑/病理学影响因素分析    
Abstract:【Objective】 To explore the influencing factors of clinicopathological characteristics high clinical recurrence risk of vocal cord leukoplakia.【Methods】A retrospective analysis of 96 patients with vocal cord leukoplakia treated in our hospital was used as the observation group. The patients were divided into high-risk groups (n=15) and low-risk groups (n=81) according to their pathological types. According to the recurrence, patients were divided into recurrence group (n=17) and non-recurrence group (n=79). In the same time period, 89 volunteers who had a healthy physical examination in our hospital were selected as the control group. Clinical data were collected and analyzed. 【Results】 (1) There was no significant difference between the observation group and the control group in the proportion of males, age> 60 years old, general hospital depression scale (HADD) score> 1 point, and general hospital anxiety and depression scale (HADA) score> 1 point(P>0.05). However, the proportion of smoking, drinking, reflux symptom index (RSI)>10, reflux sign score (RFS)>6, and overuse of voice in the observation group was significantly higher than that of the control group (P<0.05). (2) The proportion of the high-risk group with age >60 years old and scattered leukoplakia was significantly higher than that of the low-risk group.( 3) The proportion of the recurrence group with age> 60 years old and scattered leukoplakia in the recurrence group was significantly higher than that in the non-recurrence group; the differences were statistically significant (all P<0.05). 【Conclusion】Smoking, drinking and overuse of voice are the influencing factors of vocal leukoplakia. The elderly patients with leukoplakia are at high risk of recurrence.
Key wordsVocal Cords/IN    Leukoplakia/PA    Root Cause Analysis
收稿日期: 2020-10-20     
中图分类号:  R767.4  
通讯作者: *E-mail:51959804@qq.com   
引用本文:   
白锋波, 车娜. 声带白斑患者的临床病理特征及复发的影响因素分析[J]. 医学临床研究, 2021, 38(11): 1704-1706.
BAI Feng-bo, CHE Na. Influencing Factors of Clinicopathological Characteristics and Recurrence Risk of Vocal Cord Leukoplakia. JOURNAL OF CLINICAL RESEARCH, 2021, 38(11): 1704-1706.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.11.029     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I11/1704
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