CO_2激光切除肉芽肿后缝合创面结合PPI抗反流治疗喉接触性肉芽肿疗效分析  被引量:4

The Treatment Effect Analysis of Wound Suture After CO_2 Laser Excision Granuloma Combined PPI Anti-reflux for Laryngeal Contact Granuloma

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作  者:龚辉成[1] 于锋[1] 焦粤龙[1] 谭国杰[1] GONG Hui-cheng YU Feng JIAO Yue-iong et al.(The Twelfth People's Hospital of Guangzhou, Guangzhou 510000, China)

机构地区:[1]广州市第十二人民医院,广东广州510000

出  处:《中国医学创新》2017年第19期127-129,共3页Medical Innovation of China

摘  要:目的:探讨提高喉接触性肉芽肿疗效的新方法。方法:选取本院2012年3月-2015年10月诊治的13例喉接触性肉芽肿患者,采用全身麻醉气管插管,在支撑喉镜下CO_2激光手术切除肉芽肿后,用可吸收缝线缝合创面边缘黏膜封闭创面,同时所有患者均结合PPI抗反流治疗,术后随访6个月。结果:术后1个月复查,13例患者声带创面愈合良好,黏膜光滑。3个月和6个月后复查13例患者均无复发,治愈率100%。结论:喉接触性肉芽肿有强烈的复发倾向,支撑喉镜下CO_2激光手术切除肉芽肿后,用可吸收缝线缝合创面边缘黏膜封闭创面结合PPI抗反流治疗,可闭塞创面,使肉芽肿无法生长,明显降低复发率。Objective: To discuss the new method for improving the effectiveness of laryngeal contact granuloma.Method: From March 2012 to October 2015, 13 patients with laryngeal contact granuloma treated in our hospital were selected, applied general anesthesia by endotracheal intubation, under the laryngoscope after CO2 laser surgery removed the granuloma, sutured the mucosa around the wounds edge to close wound by absorbable sutures, all the patients combined PPI anti-reflux treatment at the same time, postoperative follow- up was 6 months.Result: Follow-up examination in 1 month after the surgery, all of the 13 patients' vocal cords healed well and the mucosa were smooth.After 3 and 6 months, 13 patients had no recurrence and the cure rate was 100%.Conclusion: Laryngeal contact granuloma has a strong recurrence tendency, after under the laryngoscope CO2 laser surgery removed the granuloma, sutured the mueosa around the wounds edge to close wound by absorbable sutures combined PPI anti-reflux treatment, can close the wound, prevent granuloma grow, decrease the recurrence rate obviously.

关 键 词:喉肉芽肿 激光手术 封闭创面 制酸治疗 

分 类 号:R767.91[医药卫生—耳鼻咽喉科]

 

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