支撑喉镜下低温等离子射频术治疗成人喉乳头状瘤的临床疗效观察  

Clinical efficacy of low-temperature plasma radiofrequency ablation under endoscope-supported laryngoscope in the treatment of adult patients with laryngeal papilloma

作　　者：倪荣华 张成一 林志宏[2] Ni Ronghua;Zhang Chengyi;Lin Zhihong(Department of Otorhinolaryngology,Zhuji Central Hospital,Zhuji,Zhejiang 311800,China;Department of Otorhinolaryngology,Zhuji Central Hospital,Zhuji,Zhejiang 311800,Chin;Department of Otorhinolaryngology,the Second Affiliated Hospital of Zhejiang Medical University,Hangzhou,Zhejiang 310009,China)

机构地区：[1]诸暨市中心医院耳鼻咽喉科,浙江省诸暨311800 [2]浙江医科大学附属第二医院耳鼻咽喉科,浙江省杭州310009

出　　处：《中国基层医药》2018年第21期2811-2814,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨内窥镜支撑喉镜下低温等离子射频术治疗成人喉乳头状瘤的临床效果。方法选取诸暨市中心医院2014年1月至2018年4月收治的成人喉乳头状瘤患者60例为研究对象，按照治疗方法将其分为对照组与观察组，每组30例。对照组应用支撑喉镜下瘤体钳除术，观察组采用支撑喉镜下低温等离子射频术治疗。记录两组手术时间、术中出血量、住院时间、术后并发症，术后随访，记录两组复发时间及复发率。结果观察组手术时间为（29.54±4.52）min，明显短于对照组的（38.85±5.47）min（t＝7.186，P＝0.000）；术中出血量为（1.24±0.76）mL，明显少于对照组的（35.69±5.88）mL（t＝31.825，P＝0.000）；住院时间为（3.83±1.17）d，明显短于对照组的（4.79±1.47）d（t＝2.798，P＝0.006）。观察组术后并发症率3.33%（1/30），明显低于对照组的23.33%（7/30）（χ^2＝5.192，P＝0.022）；观察组术后复发时间为（2.42±0.57）个月，明显长于对照组的（1.28±0.36）个月（t＝9.261，P＝0.000）；观察组术后复发率为6.67%（2/30），明显低于对照组的40.00%（12/30）（χ^2＝9.316，P＝0.002）。结论内窥镜支撑喉镜下低温等离子射频术治疗成人喉乳头状瘤患者创伤小，且可延长术后复发时间，降低术后复发率。Objective To investigate the clinical effect of low-temperature plasma radiofrequency with endoscopic laryngoscope in the treatment of adult patients with laryngeal papilloma.Methods From January 2014 to April 2018, 60 adult patients with laryngeal papilloma in Zhuji Central Hospital were enrolled in this study.According to the treatment Methods , they were divided into control group and observation group, with 30 cases in each group.The control group was treated with laryngoscope tweezers, and the observation group was treated by low temperature plasma radiofrequency with endoscopic laryngoscope.The operation time, intraoperative blood loss, hospitalization time and postoperative complications were recorded.The follow-up was performed on the first day after operation.The recurrence rate and average recurrence time were recorded.Results The average operation time in the observation group was （29.54±4.52）min, which was significantly shorter than （38.85±5.47）min in the control group（t=7.186, P=0.000）. The intraoperative blood loss of the observation group was （1.24±0.76）mL, which was significantly lower than （35.69±5.88）mL of the control group（t=31.825, P=0.000）. The length of hospital stay of the observation group was （3.83±1.17）d, which was significantly shorter than （4.79±1.47）d of the control group（t=2.798, P=0.006）. The incidence rate of postoperative complication in the observation group was 3.33% （1/30）, which was significantly lower than 23.33% in the control group （χ^2=5.192, P=0.022）. The mean duration of postoperative recurrence in observation group was （2.42±0.57）months, which was significantly longer than （1.28±0.36）months in the control group（t=9.261, P=0.000）. The postoperative recurrence rate of the observation group was 6.67% （2/30）, which was significantly lower than that of the control group [40.00%（12/30）, χ^2=9.316, P=0.002].Conclusion Low temperature plasma radiofrequency with endoscopic laryngoscope in the treatment of

关 键 词：喉疾病 乳头状瘤 喉镜检查 低温等离子射频术 成年人 

分 类 号：R739.65[医药卫生—肿瘤]