高频电刀治疗声门型喉癌的手术方法及预后

详细信息

收稿日期: 2012-10-23

The treatment of glottic carcinoma with high-frequency electrotome

- 1 Department of Otolaryngology Head and Neck Surgery, Three Gorges University Renhe Hospital, Yichang, 443000, China;
- 2 Department of Otolaryngology Head and Neck Surgery, Anqing Municipal Hospital

More Information

Received Date: 23 October 2012

摘要: 目的:探讨高频电刀治疗声门型喉癌的手术方法及预后。方法:对20例声门型喉癌患者,应用高频电刀在显微支撑喉镜下行声带切除术。结果:所有患者术后随访5个月~6年,喉功能和结构保留良好;1例术后半年局部复发,再行全喉切除术,随访5年未见复发;其余19例(其中2例声带前段轻度粘连)未见局部复发和淋巴结转移。结论:在全身麻醉显微支撑喉镜下,应用高频电刀行声门型喉癌切除手术,疗效较好,且无需投入昂贵设备。
- 高频电刀 /
- 喉显微手术 /
- 喉肿瘤
Abstract: Objective:To investigate the surgery management of glottic carcinoma with high-frequency electrotome.Method:Twenty cases of patients with glottic carcinoma were treated by cordectomy under micro-laryngoscopy with high-frequency electrotome.Result:The 20 patients were followed up from 5 months to 6 years, retained good laryngeal function and structure;1 case had local recurrences after 6 months, underwent total laryngectomy, and now no recurrence had been found; 19 cases(mild adhesions of vocal cords formed in 2 cases) had no local recurrence nor lymph node metastasis.Conclusion:It is unnecessary to invest in expensive equipment in the cordectomy under micro-laryngoscopy with high-frequency electrotome under general anesthesia and the result is satisfactory.
- high-frequency electrotome /
- laryngomicrosurgery /
- laryngeal neoplasms

[1]	CRAGLE S P, BRANDENBURG J H.Laser cordectomy or radiotherapy:cure rates, communication, and cost[J].Otolaryngol.Head Neck Surg, 1993, 108:648-654.
[2]	黄志刚, 韩德民, 于振坤, 等.支撑喉镜下CO₂激光喉部分切除最大范围的实验研究[J].中华耳鼻咽喉科杂志, 2004, 39 (7):399-401.
[3]	VILASECA-GONZÁLEZ I, BERNAL-SPREKELSEN M, BLANCH-ALEJANDRO J L, et al.Complications in transoral CO₂ laser surgery for carcinoma of the larynx and hypopharynx[J].Head Neck, 2003, 25:382-388.
[4]	郭志祥.喉癌现代治疗[M].南京:江苏科学技术出版社, 2009:44-45.
[5]	李爱华, 李得贤, 宋怀宝.电汽化体外对不同组织的影响[J].现代泌尿外科杂志, 1998, 3 (4):54-56.