治疗喉接触性肉芽肿19例的疗效观察  

Curative effect observation on 19 cases of contact granuloma of larynx

作　　者：夏兵华[1] 蒋明[1] 

机构地区：[1]中南大学附属湘雅三医院耳鼻喉头颈外科,湖南长沙410013

出　　处：《现代医药卫生》2011年第22期3365-3366,F0003,共3页Journal of Modern Medicine & Health

基　　金：湖南省自然科学基金资助(06jj50066)

摘　　要：目的:探讨手术联合药物治疗喉接触性肉芽肿的效果。方法:全身麻醉气管插管下对19例喉接触性肉芽肿进行手术治疗,在支撑喉镜下切除病变+等离子烧灼治疗18例,喉裂开病灶切除+创面缝合1例,术后随访6个月～1年。结果:术后6个月复查,19例患者中13例声嘶改善明显,创面光滑,2例创面稍水肿,4例复发,治愈率为79%。复发患者经保守治疗3个月后,2例肿块消失,2例失访。结论:支撑喉镜下手术切除病变+等离子烧灼及喉裂开治疗喉接触性肉芽肿有一定的疗效,术后复发率较低。Objective：To investigate the effect of operation combined with medicine in treating contact granuloma of larynx.Methods：Among 19 surgical patients with contact granuloma of larynx in tracheal intubation under general anesthesia,18 cases were performed lesion resection combined with plasma ablation by support laryngoscopy and 1 case was performed laryngofissure plus wound suture.All patients were followed up from 6 months to 1 year.Results：Among 19 cases,hoarseness was significantly improved with smooth wound surface in 13 cases,2 cases had slight edema in wound surface and 4 cases recurred.The cure rate was 79%.After 3-month conservative treatment,lump was disappeared in 2 cases and 2 cases lost follow up.Conclusion：Lesion resection plus plasma ablation and laryngofissure for treating contact granuloma of larynx has definite effects.The postoperative recurring rate is not high.

关 键 词：喉接触性肉芽肿 等离子治疗 喉裂开 

分 类 号：R76[医药卫生—耳鼻咽喉科]