CO<sub>2</sub>激光联合平阳霉素治疗喉及喉咽部血管瘤18例

王燕; 邓仁跃; 屈季宁; 陶泽璋; 华清泉

doi:10.13201/j.issn.1001-1781.2013.09.011

CO₂激光联合平阳霉素治疗喉及喉咽部血管瘤18例

- 武汉大学人民医院耳鼻咽喉头颈外科(武汉, 430060)

详细信息

通讯作者: 王燕,E-mail:entdoctor.wy@gmail.com

中图分类号: R766.5

收稿日期: 2012-10-17

The application of the CO₂ laser combined with pingyangmycin in the management of pharyngeal and laryngeal hemangioma

- Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan, 430060, China

More Information

Corresponding author: WANG Yan, E-mail: entdoctor.wy@gmail.com

Received Date: 17 October 2012

摘要

摘要: 目的:探讨支撑喉镜下行CO₂激光联合平阳霉素治疗喉及喉咽部血管瘤的临床疗效。方法:对18例成人喉及喉咽部血管瘤患者进行全身麻醉,支撑喉镜显微镜下CO₂激光以非接触式扫描照射喉咽血管瘤至组织苍白萎缩,再按肿瘤大小,分别以不同量的平阳霉素分点均匀注入残留肿瘤组织内,至肿瘤组织稍肿胀。术后门诊随访7个月~5年。结果:18 例患者均顺利完成手术,术后无咽喉部出血、术腔感染、喉头水肿等并发症发生。16例患者经一次手术后咽喉部异物感完全消失,无痰中带血,肿块无复发;1例患者喉咽后壁瘢痕形成;1例患者术后4个月痰中带血现象重新出现,检查见血管瘤复发,再次CO₂激光治疗后随访3年无复发现象,症状消失。结论:CO₂激光联合平阳霉素治疗喉及喉咽部血管瘤具有治疗部位精确、术中出血少、视野清晰的特点,术后患者反应轻、感染风险低,值得推广。
- CO₂激光 /
- 平阳霉素 /
- 喉 /
- 喉咽 /
- 血管瘤
Abstract: Objective: To review our experience with the use of the CO₂ laser combined with pingyangmycin in the treatment of pharyngeal and laryngeal hemangioma.Method: A retrospective review of 18 patients with pharyngeal and laryngeal hemangioma treated with CO₂ laser combined with pingyangmycin was carried out in our hospital: patients' medical charts were evaluated for factors such as age, sex, location of hemangioma, number of laser procedures performed, and postoperative results, including short and long term complications.Result: All the 18 patients were underwent operation without any complications such as pharyngeal and laryngeal hemorrhage,infection of incisional wound,laryngeal edema, etc.. Data of follow-up for 7 months to 5 years, showed that excellent local control was achieved in all cases with the exception of one case of recurrence. The one case recurred 4 months after operation and treated with CO₂ laser again.Conclusion: With careful selection of patients, the CO₂ laser combined with pingyangmycin pingyangmycin is a safe and effective treatment for pharyngeal and laryngeal hemangioma with the following advantages:precise location for treating, less bleeding,clear operating field, simple management,low risk of infection, less post-operation reaction, protection of laryngeal and pharyngeal structures and avoidence of tracheostomy.
- CO₂ laser /
- pingyangmycin /
- pharyngeal /
- laryngeal /
- hemangioma

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