CO_2激光在喉癌喉裂开喉部分切除术中的应用  

Translaryngofissure CO_2 laser partial laryngectomy for laryngeal carcinoma

作　　者：石栋梁[1] 杜涛[2] 习国平[1] 

机构地区：[1]河北省邯郸市第三医院耳鼻咽喉-头颈外科,河北邯郸056001 [2]河北省邯郸市第二医院内窥镜室,河北邯郸056001

出　　处：《河北医科大学学报》2015年第2期156-158,共3页Journal of Hebei Medical University

摘　　要：目的探讨CO_2激光在喉裂开喉部分切除术中应用的优势。方法对26例不适合行支撑喉镜下CO_2激光手术的喉鳞状细胞癌患者,通过喉裂开行喉部分切除术,术中应用CO_2激光配合手术(观察组),并与未使用激光的同类手术(对照组)比较。结果观察组手术时间和术后喉黏膜水肿时间均短于对照组,差异有统计学意义(P<0.01)。结论 CO_2激光应用于喉裂开喉部分切除术中,具有手术时间短、并发症少等优势,值得临床推广。Objective To determine the role of translaryngofissure CO2 laser partial laryngectomy in laryngeal carcinomas.Methods The clinical data of 26 patients with laryngeal carcinoma,whose conditions were not for self-retaining microlaryngoscopic surgery.We did translaryngofissure partial laryngectomy by using CO2 laser.Results Compared translaryngofissure CO2 laser partial laryngectomy with traditional partial laryngectomy,the average operation time was shortened by 20 minutes,reduced the laryngeal mucosa edema postoperatively.All patients were followed up for five years.The recurrence rate was significantly lower,without implantation metastasis.Conclusion Translaryngofissure CO2 laser partial laryngectomy in laryngeal carcinoma has many advantages,for example shorter operation time,shorter laryngeal mucosa edema postoperatively.

关 键 词：喉肿瘤 激光 喉切除术 

分 类 号：R739.65[医药卫生—肿瘤]