早期声门癌的内镜治疗  

Transoral laser microsurgery for early glottic neoplasms

作　　者：刘鸣[1] LIU Ming(Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin150086, Heilongjiang, China)

机构地区：[1]哈尔滨医科大学附属第二医院耳鼻咽喉头颈外科

出　　处：《山东大学耳鼻喉眼学报》2019年第4期6-9,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：随着微创技术的不断成熟,早期声门型癌大多采取内镜下手术治疗自上个世纪70年代CO-,激光引入早期喉癌的治疗以来,因其无颈部及气管切开、术后并发症少、住院时间短、病人恢复快、喉功能保存好等优点,越来越被广泛应用,已被公认为首选的内镜手术方式就经口CO2激光治疗早期声带癌的适应证、并发症、局限性、手术分型等内容进行讨论,在综述早期声门癌内镜治疗的历史及发展的同时,特别强调早期声带癌内镜手术中遵循肿瘤外科原则的重要性。With the development of minimally invasive technology, most of early glottic carcinoma is treated by endoscopic surgery. Since CO2 laser was introduced into the treatment of early laryngeal carcinoma in the 1970s, it is widely due to its advantages. It does not require an neck incision and tracheotomy, and it is associated with less postoperative complications, shorter hospital stay, faster rapid recovery of patients, better preservation of laryngeal function and so on. Surgery with CO2 is recognized as the preferred endoscopic surgery for treating glottic cancers. The indications, complications, limitations and surgical classification of oral CO2 laser in the treatment of early vocal cord carci noma are discussed in this paper. In addition, the history and development of endoscopic treatment of early glottic carcinoma are reviewed, and the importance of the oncological principles during the surgery of malignant tumor are emphasized.

关 键 词：声门 喉肿瘤 喉功能保留 激光手术 治疗结局 

分 类 号：R739.6[医药卫生—肿瘤]