摘要
目的 :研究利用 CO2 激光治疗可疑喉癌前期病变手术适应证、切除范围及对该疾病转归的意义。方法 :全麻支撑喉镜下 CO2 激光治疗慢性增生肥厚性喉炎、喉角化症及喉乳头状瘤等可疑喉癌前期病变患者 84例 ,随访 1～ 5年。结果 :一次治愈率为 85 .7% (72 / 84) ,有 7例喉角化症及 5例喉乳头状瘤术后 6个月内复发 ,占 14.3% (12 / 84) ,其中有 2例喉角化症和 3例喉乳头状瘤在 5年内先后发生了恶变 ,占 5 .95 % (5 / 84)。结论 :应用 CO2 激光治疗可疑喉癌前期病变具有手术时间短、创伤小 ,术后嗓音恢复快 ,不易复发等优点 ;对防止该类疾病恶变及向良性过程转归有积极的意义。
Eighty\|four patients with precancerous laryngeal lesions were treated by endoscopic CO 2\|laser operation from 1994 to 1998 There were 66 males and 18 females, ranging in age from 26 to 65 years The result showed that 72 patients (72/84,85 7%) were successfully decannulated Five cases had malignant changes later (5/84,5 95%) Twelve cases recurred in six months after operation The carbon dioxide laser was proved valuable in treating patients with precancerous laryngeal lesions.
出处
《耳鼻咽喉（头颈外科）》
2001年第4期217-219,共3页
Chinese Arch Otolaryngology-Head Neck Surg
