可视喉镜等离子系统切除会厌舌根良性病变71例  

Resection of benign gloss-epiglottis lesions assisted with video laryngoscope and radiofrequency ablation system: areport of 71 cases

作　　者：李树华[1] 石洪金[1] 吴大海[1] 黑仁轶 

机构地区：[1]解放军沈阳军区总医院耳鼻咽喉头颈外科,辽宁沈阳110016

出　　处：《山东大学耳鼻喉眼学报》2016年第6期53-57,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：辽宁省自然科学基金资助项目(2015020441)

摘　　要：目的 探讨可视喉镜等离子系统切除会厌舌根病变的适应证和手术方法,总结运用这种方法进行手术切除会厌舌根病变的经验。方法 对经常规检查临床初诊为会厌舌根乳头状瘤、舌扁桃体增生、会厌囊肿等良性病变的患者,在可视喉镜等离子手术系统下进行病变切除,术后随访病变复发与并发症情况。结果 经过临床初诊符合条件的舌根会厌良性病变患者71例,其中会厌囊肿44例,会厌舌根乳头状瘤17例,舌扁桃体增生10例。均经气管插管全麻,在可视喉镜和等离子手术系统辅助下完成病变切除。术后均恢复良好,除2例迟发型术后出血外,无其他并发症。其中舌扁桃体增生和舌根会厌乳头状瘤均经病理最后确诊。随访6-18个月,病变均无复发。结论 舌根会厌良性病变可以在可视喉镜等离子系统下方便快捷的经口切除,该术式具有暴露充分、视野宽广、切除彻底、创伤小、安全性良好、并发症少和疗效确切的优点。Objective To explore the feasibility of resecting benign gloss-epiglottis lesions assisted with video laryngoscope and radio frequency plasma system, and to summarize the indications and operative methods. Methods Patients with benign gloss-epiglottis lesions were prospectively enrolled in this study during Jan. 2014 and June 2015. The lesions were resected with assist of video laryngoscope and radiofrequency ablation system in patients with lingual base papilloma, lingual tonsillar hypertrophy and epiglottis cyst. All patients were followed up, and therapeutic effects and complications were recorded. Results A total of 71 patients were enrolled, including 44 with epiglottis cyst, 17 with lingual base papilloma and 10 with lingual tonsillar hypertrophy. After general anaesthesia with tracheal intubation stabi- lization, all operations were conducted with assist of video laryngoscope and radiofrequency ablation system. All patients recovered well, except 2 patients who developed tardive postoperative hemorrhage. No other complications occurred. During the 6-18 month follow-up, no recurrence was observed. Conclusions Lesion ectomy with assist of video laryngoscope and radiofrequency ablation system is safe, simple, mini-invasive, and effective, which offers good exposure and wide field, and achieves a high local control and low surgical complication rate.

关 键 词：可视喉镜 等离子系统 会厌囊肿 舌扁桃体 乳头状瘤 

分 类 号：R766[医药卫生—耳鼻咽喉科]