CO_2激光喉显微手术在喉部病变治疗中的疗效观察  

The curative effect observation of CO_2 laser endolaryngeal microsurgery(CO_2-LELM) on laryngeal lesions

作　　者：余成清[1] 梁灼萍[1] 吴跃军[1] 欧小毅[1] 覃纲[1] 

机构地区：[1]四川省泸州医学院附属医院耳鼻咽喉头颈外科,646000

出　　处：《中国中西医结合耳鼻咽喉科杂志》2015年第5期352-353,339,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的总结CO_2激光喉显微手术在喉部病变中应用的临床体会。方法全麻插管支撑喉镜下对1329例喉部病变患者在喉显微镜辅助下,用CO_2激光分别对病变组织切割、气化予以摘除。结果所有患者均一次切除病变,术后无1例出现呼吸困难、出血等并发症。手术均成功进行,1329例效果满意。结论喉显微镜下CO_2激光手术是治疗喉部病变的有效方法,具有手术创伤小,痛苦小、反应轻、恢复快、复发率低,喉功能保留好等优点,值得临床推广应用。Objective To summarize the experience of clinical application of CO2 laser endolaryngeal microsurgery （CO2-LELM） on laryngeal lesions. Method 1329 patients with laryngeal lesions were treated with CO2 laser with the aid of microsurgery to cut or carburate lesions to remove separately. Result All laryngeal lesions were removed at one time, no case of difficulty in breathing, bleeding and other complications after operation. Operation were all performed successfully and 1329 cases were satisfactory. Conclusion CO2-LELM is an effective method for laryngeal lesions with lower reaction, less pain, faster recovery, lower recurrence rate and preservation of laryngeal function and is worth popularizing.

关 键 词：喉部病变 激光手术 喉显微外科 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]