喉接触性肉芽肿的治疗  

The treatment of contact granuloma of larynx

作　　者：倪鑫[1] 马丽晶[1] 韩德民[1] 葛秀明[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《中国耳鼻咽喉头颈外科》2007年第2期79-81,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的研究应用CO2激光切除喉接触性肉芽肿的治疗效果。方法对23例喉接触性肉芽肿,采用全身麻醉气管插管,在支撑喉镜下用CO2激光切除病变,在显微镜下缝合创面周围黏膜,封闭创面,术后随访6个月。结果术后1个月复查,23例患者中18例创面愈合良好,黏膜光滑,一次手术治愈率为87.3%;5例复发,3例继续保守治疗2个月,肿块消失,2例保守治疗无效再次手术切除后痊愈。结论应用CO2激光切除喉接触性肉芽肿结合喉内显微缝合技术,封闭创面,疗效肯定,复发率低。OBJECTIVE To investigate the clinical effect of excising the laryngeal contact granuloma with CO2 laser. METHODS Twenty three patients with laryngeal contact granuloma were excised by CO2 laser under general anesthesia. The wound was sewed under microscope. All patients were followed up for 6 months. RESULTS The wound of 18 patients scarred over well when counterchecked 1 month after operation. The cure rate was 87.3 %. Five cases recurred. Three cases of them were cured by conservative therapy for 2 months. And the other two were healed after reoperation. CONCLUSION The curative effect of excising the laryngeal contact granuloma by CO2 laser and sewing up the breakage under microscope is affirmative. This method has a low rate of relapse.

关 键 词：喉肉芽肿 激光 外科手术 

分 类 号：R767[医药卫生—耳鼻咽喉科]