二氧化碳激光联合等离子射频消融术对早期喉癌的治疗效果观察  

Effect of co2 laser combined with plasma radiofrequency ablation on early laryngeal cancer

作　　者：高克梁 Gao Keliang(Department of Otolaryngology,Jinan First People's Hospital,Jinan,Shandong,250011,China)

机构地区：[1]济南市第一人民医院,山东济南250011

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第2期95-97,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的 系统分析二氧化碳激光联合等离子射频消融术对早期喉癌的治疗效果。方法 遴选本院114例早期喉癌患者展开回顾性研究,选取时间范围是2021年6月~2022年7月,依据“治疗方式的不同”将其分成对照组与观察组,且每组收入患者57例,对照组患者以二氧化碳激光治疗,观察组行二氧化碳激光联合等离子射频消融术治疗,系统分析两组的吞咽功能恢复情况、疼痛评分、术后黏膜恢复评分。结果 治疗前,两组患者在疼痛评分、术后黏膜恢复评分方面无明显差异,P>0.05;治疗后,对比于对照组,观察组的疼痛评分、术后黏膜恢复评分显著较低,P<0.05;治疗后,对比于对照组,观察组的吞咽功能恢复情况显著较优,P<0.05。结论 早期喉癌患者行二氧化碳激光联合等离子射频消融术治疗可积极改善吞咽功能恢复情况,缓解疼痛程度,促进术后黏膜恢复情况,建议临床积极学习、推广。Objective To systematically analyze the therapeutic effect of carbon dioxide laser combined with plasma radiofrequency ablation on early laryngeal cancer.Method 114 patients with early laryngeal cancer in our hospital were selected for retrospective study,and the time range was from June 2021 to July 2022.According to"different treatment methods",they were divided into control group and observation group,and 57 patients were included in each group.The control group was treated with carbon dioxide laser,while the observation group was treated with carbon dioxide laser combined with plasma radiofrequency ablation.The swallowing function recovery,pain score and postoperative mucosal recovery score of the two groups were systematically analyzed.Results Before treatment,there were no significant differences in pain scores and postoperative mucosal recovery scores between the two groups,P>0.05.After treatment,the pain score and mucosal recovery score of the observation group were significantly lower than those of the control group(P<0.05).After treatment,the swallowing function of the observation group was significantly better than that of the control group,P<0.05.Conclusion The treatment of CO2 laser combined with plasma radiofrequency ablation for early laryngeal cancer patients can actively improve the recovery of swallowing function,relieve the degree of pain,and promote the recovery of postoperative mucosa,so it is suggested to learn and popularize it actively in clinic.

关 键 词：二氧化碳激光 等离子射频消融术 早期喉癌 治疗效果 

分 类 号：R73[医药卫生—肿瘤]