CO2激光喉显微手术治疗喉良性和喉癌前期病变的临床研究 .pdfVIP

CO2激光喉显微手术治疗喉良性和喉癌前期病变的临床研究

强化龙;王伟;程忠强;詹晓东

【摘要】Objective:ToobservetheclinicaleffectsbetweentheCO2laser

microsurgeryandtraditionalself-retaininglaryngoscopeinthetreatment

ofthroatbenignandprecancerouslesions.Methods:Forty-twopatients

withthroatbenignandprecancerouslesionsweredividedintotheCO2

lasergroupandcommongroupaccordingtothetreatmentmethod,and

theclinicaleffectsbetweentwogroupswerecompared.Results:All

patientswerefollowedupfor3months,andthedifferenceoftotal

effectiveratebetweentwogroupswasnotstatisticallysignificant(P0.05).

Onecasewithlaryngealsquamousepithelialdysplasiacomplicatedwith

vocalcordadhesioninCO2lasergrouprecurred,andtreatedwithlaser

microsurgeryagain.Thepostoperativerecurrenceintwocaseswith

laryngealsquamousepithelialdysplasia,andincompleteclosureofvocal

cordin1casewithvocalpolypwerefoundincommongroup.Forother

cases,thelesionswerecompletedremoved,thethroatfunctionwas

good,andnoseriouscomplicationsoccurred.Conclusions:Theclinical

effectofvocalpolypandprecancerouslesionstreatedwithCO2laser

microsurgeryiseffective,whichcanpreservethelaryngealstructureand

function,isanimportantmeansintreatingthroatdisease.Theoperation

methodisselectedaccordingtotheparent′scondition.%目的:观察CO2激

光喉显微手术和常规支撑喉镜下治疗喉良性和喉癌前期病变的临床疗效.方法:选择

收治喉良性和喉癌前期病变42例,按照治疗方法的不同,随机分为激光组和普通组,

比较2组不同.结果:术后随访3个月,2组病人疗效比较差异无统计学意义(P0.05),

激光组1例喉鳞状上皮不典型增生术后复发并有声带粘连行二次激光手术外,普通

组2例喉鳞状上皮不典型增生术后复发,1例声带息肉病人术后有声带闭合不全,余

术后病变清除彻底,喉功能保存良好,无严重并发症发生.结论:显微镜支撑喉镜下

CO2激光治疗声带息肉及喉癌前期病变疗效可靠,能较好地保留喉结构和功能,是治

疗喉部疾病的重要手段,需根据具体情况选择合适手术方式.

【期刊名称】《蚌埠医学院学报》

【年(卷),期】2017(042)007

【总页数】3页(P910-912)

【关键词】喉肿瘤;会厌囊肿;CO2激光;显微手术

【作者】强化龙;王伟;程忠强;詹晓东

【作者单位】蚌埠医学院第一附属医院耳鼻咽喉头颈外科,安徽蚌埠233004;蚌埠

医学院第一附属医院耳鼻咽喉头颈外科,安徽蚌埠233004;蚌埠医学院第一附属医

院耳鼻咽喉头颈外科,安徽蚌埠233004;蚌埠医学院第一附属医院耳鼻咽喉头颈

外科,安徽蚌埠233004

【正文语种】中文

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