山东大学耳鼻喉眼学报

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激光减容术治疗舌扁桃体肥大的远期疗效

殷国华,钟 笑   

  1. 上海交通大学附属第一人民医院分院, 上海 200081
  • 收稿日期:2008-02-13 修回日期:2008-04-20 出版日期:2008-06-16 发布日期:2008-06-16
  • 通讯作者: 殷国华

Long-term effect of laser reduction on lingua adenoids


YIN Guo-hua, ZHONG Xiao   

  1. Shanghai Communication University, Affiliated Branch of Shanghai First People′s Hospital, Shanghai 200081, China
  • Received:2008-02-13 Revised:2008-04-20 Online:2008-06-16 Published:2008-06-16
  • Contact: YIN Guo-hua

摘要: 目的评估半导体激光黏膜下隧道法激光减容术治疗舌扁桃体肥大的手术效果、并发症及其安全性。方法经药物治疗无效的56例舌扁桃体肥大患者,在局麻或全麻下采用黏膜下隧道法激光减容术进行治疗,用半导体激光的光纤治疗头在肥大的舌扁桃体上由前向后打3~5条隧道,同时气化并热凝固隧道周围的舌扁桃体组织,以达到舌扁桃体减容的目的。随访12 ~ 50个月(平均23个月)。结果全部患者术后1个月咽喉部异物感和/或梗阻感消失,其他伴随症状显著改善。3个月后,舌扁桃体缩小至与舌体基本持平,2例出现复发性舌扁桃体肥大,再次手术后舌扁桃体缩小;6~12个月时舌扁桃体与3个月相同。手术基本达到无血化(均少于5mL)。除1例患者有下咽部干燥感外,术后无味觉障碍、出血、水肿及咽喉部梗阻等并发症。结论半导体激光具有高能效、光纤定位准确及穿透力强等优点。采用半导体激光行黏膜下隧道法激光减容术治疗舌扁桃体肥大高效、安全。

关键词: 舌扁桃体肥大, 半导体, 激光, 减容术

Abstract: To evaluate the long-term effect, surgical complications and safety of semiconductor laser sub-mucosal tunnel tissue reduction in treatment of lingua adenoids. Methods56 patients with lingua adenoids were treated by semiconductor laser sub-mucosal tunnel tissue reduction under local or general anaesthesia. In the operations, 3 to 5 tunnels on lingua hypertrophy were gasified from front to rear by the fiber needle of a semiconductor laser and adenoids surrounding the tunnels were also gasified and curdled to reduce lingua adenoids volume. All patients were followed up from 12 to 50 months (average 23 months). Results Post-operative one month, foreign body sensation at the laryngopharynx and/or obstructive feeling disappeared, and other concomitant symptoms improved. After three months, the lingua tonsil was reduced to the basic tongue level except in 2 cases. By re-operation, the lingua tonsil returned to the size at the third month after 6 to 12 months. In the operations, hemorrhage was less than 5mL. Except for 1 patient who had hypopharynx dryness feeling, all patients had no taste influence, hemorrhage, edema and laryngopharynx obstruction after the operations. ConclusionThe semiconductor laser has advantages of high efficiency and safety in the treatment of lingua adenoids.

Key words: Semiconductor, Laser, Lingual adenoids, Reduction

中图分类号: 

  • R766.9
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