高频电刀治疗声门型喉癌的手术方法及预后  

The treatment of glottic carcinoma with high-frequency electrotome

作　　者：毛华东[1] 谢宏武[2] 王亚康[2] 梁素青[2] 

机构地区：[1]三峡大学仁和医院耳鼻咽喉头颈外科湖北宜昌,443000 [2]安徽医科大学附属安庆医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第3期162-164,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨高频电刀治疗声门型喉癌的手术方法及预后。方法：对20例声门型喉癌患者，应用高频电刀在皿微支撑喉镜下行声带切除术。结果：所有患者术后随访5个月～6年，喉功能和结构保留良好；1例术后半年局部复发，再行全喉切除术，随访5年未见复发；其余19例（其中2例声带前段轻度粘连）未见局部复发和淋巴结转移。结论：在全身麻醉最微支撑喉镜下，应用高频电刀行声门型喉癌切除手术，疗效较好，且无需投入昂贵设备。Objective：To investigate the surgery management of glottic carcinoma with high-frequency elect- rmome. Method： Twenty cases of patients with glottic carcinoma were treated by cordeetomy under micro-laryngos- copy with high-frequency electrotome. Result：The 20 patients were followed up from 5 months to 6 years, retained good laryngeal function and structure; 1 case had local recurrences after 6 months, underwent total laryngeetomy, and now no recurrence had been found; 19 cases（mild adhesions of vocal cords formed in 2 cases） had no local re- currence nor lymph node metastasis. Conclusion=It is unnecessary to invest in expensive equipment in the cordecto- my under micro-laryngoscopy with high-frequency electrotome under general anesthesia and the result is satisfacto-

关 键 词：高频电刀 喉显微手术 喉肿瘤 

分 类 号：R739.65[医药卫生—肿瘤]