低温等离子射频消融术治疗舌根囊肿的初步研究  

Preliminary investigation of low-temperature radiofrequency ablation on treatment of tongue base cyst

作　　者：刘树森[1] 江萍[1] 衡伟伟[1] 郭浪[1] 

机构地区：[1]南京大学医学院附属口腔医院耳鼻咽喉科,南京210008

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第15期694-696,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨低温等离子射频消融术治疗舌根囊肿的可行性。方法:在全身麻醉气管内插管的条件下采用低温等离子射频消融术对14例舌根囊肿患者进行治疗,记录手术时间、出血量以及并发症,并进行随访。结果:14例患者囊肿均完全切除,其中12例患者在全身麻醉下进行了一次性治疗,2例患者在局部麻醉下进行了第2次手术。手术时间5～10min,术中出血1～5ml。术毕常规拔除气管导管,无气管切开患者。咽部异物感VAS评分由术前的83.1±11.2降至术后10.3±3.6,差异有统计学意义(P<0.01)。患者无明显咽痛、出血或呼吸困难等并发症,语音和舌根运动功能不受影响。随访7个月～3年,仅1例术后半年复发,治愈率为92.9%(13/14)。结论:低温等离子射频消融术治疗舌根囊肿具有创伤小、术后并发症少和复发率低的优点,为临床提供了一种新的治疗手段。Objective：To explore the feasibility of low-temperature radiofrequency ablation for the treatment of tongue base cyst. Method：Low-temperature radiofrequency ablation was used to treat 14 patients with the cyst of tongue base under general anesthesia with endotracheal intubation. Operation time, the volumn of blood loss and postoperative complications were recorded and the follow-up was taken after surgey. Result：The tongue base cysts were totally resected in 14 patients, among which 12 patients only underwent one operation under general anesthe-sia and two patients received once again under local anesthesia. The procedure took approximately 5-10 rain and the volume of blood loss during surgery varied from 1-5 ml. Endotracheal catheter was extubated as usual and in-cision of trachea was not done. The VAS score of foreign pharynx sensation decreased significantly from preopera-tive 83.1±11.2 to postoperative 10.3±3.6 （P〈0.01）. There were no significant postoperative haemorrhage, pharyngalgia, dyspnea or other complications. Speech and the mo（or function of tongue base were not affected. Follow-up survey ranged from 7 months to 3 years and the cure rate was about 92.9% （13/14） as the recurrence occurred only in one out of 14 cases. Conclusion： Low-temperature radiofrequency ablation is a promising manage-ment for the cyst of tongue base with less trauma, complications or recurrence.

关 键 词：低温 射频消融术 舌根囊肿 

分 类 号：R781.5[医药卫生—口腔医学]