支撑喉内窥镜下激光治疗早期声带癌和癌前病变  

Early vocal cords cancer and precancerosis of larynx treated with Nd:YAP laser under the laryngoscope and rigid endoscope

作　　者：高鹏飞[1] 崔鹏程[1] 阮炎艳[1] 罗家胜[1] 陈文弦[1] 刘志[1] 卞卡[1] 

机构地区：[1]第四军医大学唐都医院耳鼻咽喉科,陕西西安710038

出　　处：《现代肿瘤医学》2009年第8期1442-1443,共2页Journal of Modern Oncology

摘　　要：目的:探讨支撑喉内窥镜下激光治疗早期声带癌和癌前病变的方法、临床疗效及适应症。方法:支撑喉内窥镜下Nd:YAP激光治疗的早期声带癌(T1N0M0)13例(T1a型9例,T1b型4例),癌前病变24例,全部病例通过电话及门诊复诊定期随访。结果:所有病例未出现手术并发症。3例癌前病变患者失访;2例声带癌侵及前联合患者分别于术后3月和1年复发;2例喉乳头状瘤于术后1年复发。结论:与喉裂开术相比,支撑喉内窥镜下激光治疗早期声带癌和癌前病变具有手术创伤小、安全、吞咽功能恢复快、住院时间短等优点。但侵及前联合的早期喉癌有较高的复发率。Objective：To explore the technique, therapeutic effectiveness and indication of the early vocal cords cancer and precancerous of larynx treated with Nd ： YAP laser under the laryngoscope and rigid endoscope. Methods： Thirteen patients with early glottic cancer（9 cases in T1a stage,4 in T1b ） and 24 cases of precancerosis of larynx were treated with Nd：YAP laser under the laryngeal rigid endoscope. All patients were regularly followed up by phone or reture visit examination for 1 - 4 years. Results ： Complications were not found in any patient, 3 cases of precaneerosis were lost of follow - up, 2 cases of vocal cancer invading to anterior commissure relapsed at 3 month and 1 year after the operation ,2 cases of laryngeal papilloma relapsed 1 year later. Conclusion： Compared with the laryngofissure, early vocal cords cancer and precancerosis of larynx treated with Nd ： YAP laser under the laryngoscope and rigid endoscope is mini - invasive for patient, safe, fast recovery of swallow, short time of hospitalization. However the relapse rate is higher for the vocal cancer invading to anterior commissure.

关 键 词：内窥镜 喉癌 激光 

分 类 号：R739.65[医药卫生—肿瘤]