低温等离子射频手术治疗喉部良性病变的临床疗效  

Clinical Efficacy of Low Temperature Plasma Radiofrequency Ablation for Benign Lesions of the Larynx

作　　者：陆灵娟 刘继远[2] 佘志强[2] LU Ling-juan;LIU Ji-yuan;SHE Zhi-qiang(Department of Otorhinolaryngology Head and Neck Surgery,Guangxi International Zhuang Medical Hospital,Nanning 530200,Guangxi,China;Department of Otorhinolaryngology Head and Neck Surgery,Ruikang Hospital,Guangxi University of Traditional Chinese Medicine,Nanning 530010,Guangxi,China)

机构地区：[1]广西国际壮医医院耳鼻咽喉头颈外科,广西南宁530200 [2]广西中医药大学附属瑞康医院耳鼻咽喉头颈外科,广西南宁530010

出　　处：《医学信息》2019年第14期110-111,116,共3页Journal of Medical Information

摘　　要：目的探讨低温等离子射频手术在治疗喉部部分良性病变的临床疗效。方法选取2016年1月~2017年3月我院收治的喉部部分良性病变患者116例,随机分为观察组和对照组,各58例。对照组应用喉钳切除术治疗,观察组应用低温等离子射频手术治疗,比较两组临床疗效、疼痛程度及24个月后复发情况。结果观察组总有效率为96.56%,高于对照组的86.21%,差异有统计学意义(P<0.05)。术后3d,观察组喉部嗓音VAS评分低于对照组[(2.04±0.42)分vs(3.11±0.45)分],差异有统计学意义(P<0.05)。观察组复发率为1.72%,低于对照组的12.07%,差异有统计学意义(P<0.05)。结论等离子射频消融治疗喉部分良性病变疗效显著,可有效缓解术后疼痛程度,且复发率低,具有较高的临床应用价值。Objective To investigate the clinical efficacy of low temperature plasma radiofrequency ablation in the treatment of benign partial lesions of the larynx.Methods A total of 116 patients with benign lesions of the larynx admitted to our hospital from January 2016 to March 2017 were randomly divided into observation group and control group,58 cases each.The control group was treated with laryngectomy,and the observation group was treated with low-temperature plasma radiofrequency ablation.The clinical efficacy,pain level and recurrence after 24 months were compared between the two groups.Results The total effective rate of the observation group was 96.56%,which was higher than that of the control group 86.21%,the difference was statistically significant (P<0.05).At 3 d after operation,the VAS score of the throat of the observation group was lower than that of the control group [(2.04±0.42) points vs.(3.11±0.45) points],the difference was statistically significant (P<0.05).The recurrence rate of the observation group was 1.72%,which was lower than that of the control group 12.07%,the difference was statistically significant (P<0.05).Conclusion Plasma radiofrequency ablation is effective in the treatment of benign lesions of the larynx.It can effectively alleviate postoperative pain and has a low recurrence rate.It has high clinical value.

关 键 词：喉部良性病变 低温等离子射频 微创 

分 类 号：R739.8[医药卫生—肿瘤]