CO_2激光喉显微手术治疗声带白斑疗效观察  

Efficacy of CO_2 laser treatment of vocal cord leukoplakia under phonomicrosurgery

作　　者：古庆家[1] 李静娴[1] 冯勇[1] 余晓旭[1] 何刚[1] 

机构地区：[1]四川省医学科学院.四川省人民医院耳鼻咽喉科,四川成都610072

出　　处：《实用医院临床杂志》2013年第4期144-146,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨CO2激光喉显微手术治疗声带白斑的临床疗效及手术策略。方法在显微支撑喉镜下,对45例声带白斑患者分别采用CO2激光黏膜表皮剥脱术、黏膜下切除术或声带部分切除术治疗。结果声带黏膜上皮角化不伴非典型增生(24例)以及伴有轻度不典型增生(13例)均全部治愈。角化伴中度-重度不典型增生(8例)治愈4例,其中3例复发,并相继进行2次或多次手术;1例癌变。45例术后均未出现呼吸困难、出血等严重并发症。结论 CO2激光喉显微手术治疗声带白斑疗效显著,具有创伤小、术后嗓音恢复快、不易复发等优点;对病理检查提示有异型增生者需密切随诊观察。Objective To investigate the efficacy and operation strategy of COzlaser treatment of patients with vocal cord leu-koplakia under phonomicrosurgery. Methods Forty-five patients were treated with CO2 laser phonomicrosurgery of mucosal epithelium- ablation, mucosal stripping and partial resection of vocal cord, respectively. Results There were 24 vocal cord leukoplakia cases with- out dysplasia, 13 cases with mild dysplasia（ LIN1 ）and 8 cases with moderate to severe dysplasia（ LIN2 ）. Three cases recurred postoper- atively and accepted twice or more operations successively. One case occurred canceration. Conclusion The CO2 laser phonomicrosurgery is a valuable treatment for patients with vocal cord leukoplakia. It has advantages of Iess trauma, quicker recovery and difficult to recurrence. However, the cases with dysplasia should be followed up closely.

关 键 词：声带白斑 激光 手术 

分 类 号：R454.2[医药卫生—治疗学] R767.4[医药卫生—临床医学]