多功能开口器下等离子射频切除声门上型喉癌四例并文献分析  

Supraglottic laryngeal carcinoma resection by radiofrequency coblation under a multifunctional opener in four cases and literature analysis

作　　者：吴允刚[1] 马林祥[1] 王彩华[1] 张辉[1] 赵玉凤[1] 孙聚兴[1] 杨欣欣[1] Wu Yungang;Ma Linxiang;Wang Caihua;Zhang Hui;Zhao Yufeng;Sun Juxing;Yang Xinxin(Department of Otolaryngology-Head and Neck Surgery,the Affiliated Hospital of Jining Medical University,Jining 272029,Shandong Province,China)

机构地区：[1]济宁医学院附属医院耳鼻咽喉头颈外科,272029

出　　处：《中国基层医药》2021年第10期1501-1505,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨多功能开口器下等离子射频切除声门上型喉癌的疗效及可行性。方法回顾性分析济宁医学院附属医院2019年1-6月手术治疗的声门上型喉癌4例(T1N1M02例、T2N1M01例、T1N0M01例)患者的临床资料,手术采用多功能开口器下等离子射频切除声门上型喉癌联合双侧颈部淋巴结Ⅱ~Ⅳ区清扫,观察术后吞咽、呼吸、发声等康复情况,并结合文献进行分析。结果4例患者中,2例患者术后3 d恢复正常饮食,1例术后7 d正常饮食,1例术后16 d正常饮食,未行气管切开,术后患者呼吸、言语交流不受影响。结论早期声门上型喉癌可采用多功能开口器下等离子射频手术,手术创伤小,患者术后痛苦轻,能较早恢复正常吞咽功能,是一种有效的治疗方式。Objective To investigate the efficacy and feasibility of radiofrequency resection of supraglottic laryngeal carcinoma under a multifunctional opener.Methods The clinical data of four cases of supraglottic laryngeal carcinoma(type T1N1M0 in two cases,T2N1M0 in one case,and T1N0M0 in one case)who received treatment in the Affiliated Hospital of Jining Medical University during January-June 2019 were retrospectively analyzed.Radiofrequency resection of supraglottic laryngeal carcinoma under a multi-functional opener combined with bilateral neck Ⅱ~Ⅳ region lymph node dissection was performed.Swallowing,breathing and phonation were observed and analyzed based on references.Results Among the four cases,two cases had a normal diet at 3 days after surgery,one case had a normal diet at 7 days after surgery,and one case had a normal diet at 16 days after surgery.Tracheotomy was not performed in any case.After surgery,breathing and speech communication were not affected.Conclusion Radiofrequency surgery under a multifunctional opener can be used for treatment of early supraglottic laryngeal cancer.It is an effective treatment with minimal trauma,mild postoperative pain and promotes the early recovery of normal swallowing function.

关 键 词：喉肿瘤 癌 鳞状细胞 颈淋巴结清扫术 等离子射频 外科手术 会厌 多功能开口器 喉 咽 激光 

分 类 号：R739.65[医药卫生—肿瘤]