早期声门型喉癌低温等离子射频术后喉部感染诊治经验与教训  

Experience and lessons of diagnosis and treatment of laryngeal infection after low temperature plasma radiofrequency surgery for early glottic carcinoma

作　　者：石玉琦 佘翠平 张庆丰 刘得龙 焦梦思 SHI Yuqi;SHE Cuiping;ZHANG Qingfeng;LIU Delong;JIAO Mengsi(Department of Otorhinolaryngology&Head and Neck Surgery,Dalian Municipal Central Hospital of Dalian Medical University,Dalian 116000,Liaoning,China;Department of Otorhinolaryngology&Head and Neck Surgery,Shenzhen University General Hospital,Shenzhen 518055,Guangdong,China)

机构地区：[1]大连医科大学附属大连市中心医院耳鼻咽喉头颈外科,辽宁大连116000 [2]深圳大学总医院耳鼻咽喉头颈外科,广东深圳518055

出　　处：《山东大学耳鼻喉眼学报》2021年第4期129-134,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：大连市科技创新项目基金(2019J13SN77)。

摘　　要：回顾性分析早期声门型喉癌低温等离子射频切除术后喉部感染的2例患者诊治过程,总结得出等离子手术切割过深、档位过高、范围过大、电凝止血过度是造成喉部软骨热损伤的主要因素,软骨坏死继发导致喉部感染。2例分别通过喉内清创及喉内外联合清创,加抗感染治疗治愈。对诊治经过不当之处进行剖析,汲取教训,为提高临床医生对类似疾病的诊治能力提供借鉴。A retrospective analysis was made of the diagnosis and treatment of laryngeal infection after low-temperature plasma radiofrequency ablation in two cases of early glottic carcinoma.It is considered that the main factors causing thermal injury of laryngeal cartilage in the operation are too deep cuttng,too high gear,too large range and excessive electrocoagulation hemostasis.And laryngeal infection was secondary to cartilage necrosis.Two cases were cured by debridement in the larynx and combined debridement inside and outside larynx,together with anti-infection therapy.Therefore,by analyzing improper diagnosis and treatment,we can draw lessons,so as to provide reference for improving clinicians’ability of diagnosis and treatment of similar diseases.

关 键 词：等离子射频 喉癌 声门型 外科手术 喉部感染 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]