早期声门型喉癌的CO<sub>2</sub>激光手术治疗

何发尧; 王跃建; 陈伟雄; 朱肇峰; 曾勇; 张剑利; 汤苏成

doi:10.13201/j.issn.1001-1781.2014.07.018

早期声门型喉癌的CO₂激光手术治疗

- 佛山市第一人民医院耳鼻咽喉-头颈外科(广东佛山, 528000)

详细信息

通讯作者: 何发尧, E-mail:hfyao@fsyyy.com

中图分类号: R739.65

收稿日期: 2012-12-24

Clinical reseach of early laryngocarcinoma treatment by carbon dioxide laser microsurgery

- Department of Otolaryngology-Head and Neck Surgery, the First People's Hospital of Foshan, Foshan, 528000, China

More Information

Corresponding author: HE Fayao, E-mail: hfyao@fsyyy.com

Received Date: 24 December 2012

摘要

摘要: 目的:探讨CO₂激光手术治疗声门型喉癌的临床治疗效果。方法:112例声门型喉癌患者均在全身麻醉下经口气管插管,用支撑喉镜充分暴露声门,完全看清肿瘤后,显微镜下用CO₂激光沿肿瘤外缘切除声门肿瘤,安全边界为3~5 mm。术后随诊12~62个月。结果:112例支撑喉镜下CO₂激光手术后8例局部复发,局部复发率7.14%,T_1a复发率0.89%、T_1b复发率0.89%、T₂复发率5.40%,组间差异有统计学意义(χ²=5.306,P<0.01)。病变侵犯前连合复发率7.14%,病变未侵犯前连合复发率7.14%,2组差异无统计学意义(χ²=0.000,P>0.01)。1例患者术后当天出现喉腔大出血,经再次手术,应用带吸引单极电凝止血成功。结论:激光手术治疗早期声门型喉癌疗效可靠,喉功能保全好,是早期喉癌较为理想的治疗方式。
- 喉肿瘤 /
- 二氧化碳激光 /
- 喉切除术 /
- 存活率
Abstract: Objective:The aim of this study is to explore the applications of digital department in otolaryngology concern with the emergent and dangerous of otolaryngology diseases.Method:We have constructed digital otolaryngology head and neck surgery department on the basis of hospital information system, which is constructed under the guidance of the theories and methods of modern information integration technology, computer software technology, health informatics and network information technology.Result:The foundation of digital otolaryngology department can optimize digital workflow, improve work efficiency and eliminate the manual operation.Conclusion:Digital department in otolaryngology will promote the quality and upgrade the level of medical staff, it plays an important role in the hospital informationization.
- laryngeal neoplasms /
- CO2 laser /
- laryngectomy /
- survival rate

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