显微镜辅助下电凝钩切除早期喉癌的临床效果分析  

Clinical effect analysis of microscope-assisted electrocoagulation hook resection for early laryngeal cancer

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作  者:傅毓阳 程付伟[1] 黄海平[1] 孙朋[1] FU Yuyang;CHENG Fuwei;HUANG Haiping;SUN Peng(Department of Otolaryngology,the First Affiliated Hospital of Soochow University,Suzhou,Jiangsu 215006,China)

机构地区:[1]苏州大学附属第一医院耳鼻咽喉科,江苏苏州215006

出  处:《医药前沿》2025年第11期45-48,共4页Journal of Frontiers of Medicine

基  金:苏州市临床医学中心建设项目(SZLCYXZX202102)。

摘  要:目的分析显微镜辅助下电凝钩切除早期喉癌的临床效果。方法回顾性分析2019年1月—2020年12月苏州大学附属第一医院收治的43例早期喉癌患者的临床资料,根据手术方式不同分为电凝钩组(n=13)和二氧化碳激光组(n=30)。二氧化碳激光组采用显微镜辅助线下二氧化碳激光切割术,电凝钩组采用显微镜辅助下电凝钩治疗,比较两组住院时间、手术情况、术后并发症、肉芽增生、复发、术后放化疗及再入院发生情况。结果电凝钩组手术时间短于二氧化碳激光组(P<0.05);两组住院时间、术中出血量、数字分级评分法评分、术后并发症、肉芽增生、复发、术后放化疗及再入院发生率比较,差异无统计学意义(P>0.05)。结论显微镜辅助下电凝钩切除早期喉癌效果较好,其切割精准、出血少、设备获取便利,术后并发症较少,且术后较少需要放化疗,复发率和再入院率均降低,可减轻患者经济负担。Objective To analyze the clinical effect of microscope-assisted electrocoagulation hook resection for early laryngeal cancer.Methods The clinical data of 43 patients with early laryngeal cancer admitted to the First Affiliated Hospital of Soochow University from January 2019 to December 2020 were retrospectively analyzed.According to different operation methods,they were divided into electrocoagulation hook group(n=13)and carbon dioxide laser group(n=30).The carbon dioxide laser group was treated with microscope-assisted offline carbon dioxide laser cutting,and the electrocoagulation hook group was treated with microscope-assisted electrocoagulation hook.The hospitalization time,operation condition,postoperative complications,granulation hyperplasia,recurrence,postoperative radiotherapy and chemotherapy and readmission were compared between the two groups.Results The operation time of the electrocoagulation hook group was shorter than that of the carbon dioxide laser group(P<0.05).There was no significant difference in hospitalization time,intraoperative blood loss,Numerical Rating Scale score,postoperative complications,granulation hyperplasia,recurrence,postoperative radiotherapy and chemotherapy and readmission rate between the two groups(P>0.05).Conclusions The effect of microscope-assisted electrocoagulation hook resection of early laryngeal cancer is better.It has accurate cutting,less bleeding,convenient equipment acquisition,less postoperative complications,and less postoperative radiotherapy and chemotherapy.The recurrence rate and readmission rate are reduced,which can reduce the economic burden of patients.

关 键 词:喉癌 显微镜 电凝钩 二氧化碳激光切除术 并发症 复发率 

分 类 号:R739[医药卫生—肿瘤]

 

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