内镜联合低温等离子治疗累及前连合的早期声门型喉癌的疗效观察

刘海鹰; 王建宏; 李希平; 房居高

doi:10.13201/j.issn.1001-1781.2018.11.013

内镜联合低温等离子治疗累及前连合的早期声门型喉癌的疗效观察

- 1. 首都医科大学附属北京安贞医院耳鼻咽喉头颈外科(北京, 100029);
- 2. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

详细信息

通讯作者: 房居高,E-mail:fangjugao@163.com

中图分类号: R739.65

收稿日期: 2018-04-09

Clinical observation of radiofrequency coblation therapy in early glottis cancer involving the anterior commissure with endoscope

- 1. Department of Otolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China;
- 2. Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University

More Information

Corresponding author: FANG Jugao, E-mail: fangjugao@163.com

Received Date: 09 April 2018

摘要

摘要: 目的：探讨经口CO₂激光联合低温等离子射频消融在内镜下切除前连合受累的早期声门型喉癌的可行性和临床疗效。方法：对10例内镜下CO₂激光联合低温等离子射频消融治疗暴露困难的早期声门型喉癌患者的临床资料进行回顾性分析。所有患者均行薄层增强CT扫描以排除甲状软骨板受侵。10例患者均经口径路彻底切除肿瘤，无中转开放手术。结果：所有患者病理结果均为鳞状细胞癌，切缘均呈阴性。随访6~48个月，无肿瘤复发或转移。结论：暴露困难的早期声门型喉癌经口内镜下CO₂激光联合低温等离子射频消融具有创伤小、恢复快、并发症少等优点，是一种有效可行的方法。
- 激光 /
- 射频消融 /
- 喉肿瘤 /
- 前连合
Abstract: Objective: To explore clinical effect of CO₂ laser combined with radiofrequency coblation therapy on early glottis carcinoma involving the anterior commissure with endoscope.Method: The clinical data of 10 patients with early glottis cancer involving the anterior commissure who were underwent CO₂ laser and radiofrequency coblation with angled endoscope was retrospective analyzed.All patients receieved CT scan with contrast to rule out the cases with thyroid cartilage plate involvement. Result: The surgeries were performed successfully on all of the 10 patients. The pathology of the 10 patients were all squamous cell carcinoma. Surgical margins showed no residual tumor cell. There was no recurrence or metastasis with a follow-up of 6 to 48 months.Conclusion: It was an effective treatment for the CO₂ laser and radiofrequency coblation therapy in glottis cancer involving the anterior commissure with endoscope.
- lasers /
- radiofrequency coblation /
- laryngeal neoplasms /
- anterior commissure

HTML全文

参考文献(10)

[1]	黄少鹏, 陈勇, 叶青, 等.早期声门型喉癌CO₂激光手术治疗[J].中国耳鼻咽喉头颈外科, 2015, 22(7):325-328.
[2]	林海容, 龚正鹏.早期声门型喉癌微创治疗的研究进展[J].医学综述, 2016, 22(13):2551-2554.
[3]	郑宏良, 张才云.经口微创手术方式的选择及其在咽喉科的应用[J].中华耳鼻咽喉头颈外科杂志, 2017, 52(5):395-400.
[4]	卢仲明, 宋新汉, 张思毅, 等.显微喉镜下CO₂激光手术治疗喉癌的远期疗效[J].中华肿瘤杂志, 2012, 34(6):473-476.
[5]	张庆翔, 李平栋, 胡慧英, 等.累及前连合的早期声门型喉癌经口CO₂激光治疗[J].中华耳鼻咽喉头颈外科杂志, 2015, 50(4):286-289.
[6]	黄志刚, 韩德民, 王琪, 等.激光治疗喉声门型癌手术切缘安全性研究[J].耳鼻咽喉-头颈外科, 2004, 11(2):73-76.
[7]	毛承刚, 万俐佳, 周小淳, 等.低温等离子刀在声门型喉癌手术中的应用[J].中国眼耳鼻喉科杂志, 2011, 11(6):385-387.
[8]	张庆丰, 刘得龙, 宋伟, 等.等离子射频消融术治疗早期声门型喉癌的疗效观察[J].临床耳鼻咽喉头颈外科杂志, 2011, 25(18):855-856.
[9]	RUCCI L, GAMMAROTA L, GALLO O.Carcinoma of the anterior commissure of the larynx:II.Proposal of a new staging system[J].Ann Otol Rhinol Laryngol, 1996, 105:391-396.
[10]	WU J H, ZHAO J, LI Z H, et al.Comparison of CTand MRI in Diagnosis of Laryngeal Carcinoma with Anterior Vocal Commissure Involvement[J].Sci Rep, 2016, 6:30353.