显微支撑喉镜下激光治疗早期喉癌初步观察  

Observation of earlier laryngeal carcinoma treated by microscopic suspension laryngoscope laser technique

作　　者：李树华[1] 石洪金[1] 周小榕[1] 

机构地区：[1]中国人民解放军沈阳军区总医院耳鼻咽喉科,辽宁沈阳110016

出　　处：《中国内镜杂志》2010年第1期18-20,24,共4页China Journal of Endoscopy

摘　　要：目的探讨显微支撑喉镜下二氧化碳激光治疗技术对早期喉癌的治疗价值。方法应用显微支撑喉镜下激光治疗早期喉癌21例,随访观察治疗效果,并观察喉内创面愈合时间和并发症情况。结果喉内创面均在2个月内完成愈合过程,除4例患者前联合轻度粘连、声带变短外,无其他并发症。21例全部获得随访,随访1年以上者11例,半年以上者5例,3个月以上者5例,均未见喉内局部肿瘤复发和颈淋巴结转移。结论显微支撑喉镜下激光技术治疗早期喉癌,不需气管切开,具有创伤小、出血少、术野清晰、缩短住院时间、并发症少、治疗效果满意的优点,值得继续推广应用。[ Objective ] To explore the value of microscopic suspension laryngoscope laser technique in earlier la- ryngeal carcinoma therapy. [Methods ] 21 patients with earlier laryngeal carcinoma were treated by microscopic sus- pension laryngoscope laser technique. The tumor therapeutic results, wound healing process and complications were followed up. [ Results ] 21 cases were all following up, among them, 11 cases more than 1 years, 5 cases more than 6 months and 6 cases more than 3 months, no tumor repes and Lymph Nodes metastasis in all patients. The learyn- gem wound healing process were completed in 2 months and no other complications besides preeommissural adhe- sions occurred in 4 patients. [ Conclusions ] Microscopic suspension laryngoscope laser technique in earlier laryn- geal carcinoma therapy had many merits, such as no need trachea incision, clear field vision, less injury and bleed, shorter hospitalization time, and better threaptic results. The technique is worth for clinical application generalization.

关 键 词：喉癌 支撑喉镜 激光 

分 类 号：R739.6[医药卫生—肿瘤]