显微支撑喉镜下等离子消融治疗早期声门型喉癌11例  

Glottic carcinoma at early stage treated by microscopic suspension laryngoscopy combined with a coblation technique: a report of 11 cases

作　　者：陈刚[1] 赵华[1] 荆建军[1] 温妮热[1] 郑亮[1] 闫睿[1] 李书红[1] 

机构地区：[1]兰州军区乌鲁木齐总医院耳鼻咽喉头颈外科,乌鲁木齐830000

出　　处：《山东大学耳鼻喉眼学报》2012年第4期24-26,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨显微支撑喉镜下低温等离子消融术对早期声门癌的治疗价值和临床效果。方法对无淋巴转移的早期声门型喉癌(Tis 2例,T1 9例)患者11例,于显微支撑喉镜下行低温等离子消融术,未采用放化疗。术后随访13～37个月,观察患者喉内创面愈合和并发症情况,了解痊愈进度。结果所有患者随访至今无瘤生存。喉内创面均在1个月内完成愈合过程,除4例患者前连合轻度粘连外,无其他并发症。结论显微支撑喉镜下低温等离子消融术治疗早期声门型喉癌的近期疗效是肯定的,而且喉部结构和功能的保留较好,远期疗效仍需要继续观察。Objective To explore the therapeutic value and effect of microscopic suspension laryngoscopy combined with a coblation technique in the treatment of glottic carcinoma at early stage. Methods 11 glottic carcinoma patients（ Tis 2 ,T1 9）were treated by microscopic suspension laryngoscopy combined with a coblation technique, without radiotherapy or chemotherapy. The therapeutic results, wound healing and complications were reviewed. Results Within a following-up from 13 to 37 months, there was no tumor recurrence or lymph nodes metastasis in all the patients. The laryngeal wound healing was completed in 1 month without any complications, except that precommissural adhesions occurred in 4 patients. Conclusion The therapeutic effect of microscopic suspension laryngoscopy combined with a coblation technique on glottic carcinoma at early stage is certain, in which the framework and function of the larynx is well preserved.

关 键 词：喉肿瘤 支撑喉镜 等离子消融术 

分 类 号：R739.65[医药卫生—肿瘤]