早期声带癌的CO2激光微创治疗

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (3): 19-21.

早期声带癌的CO2激光微创治疗

王俊国，沈晓辉，钱晓云，戴艳红，陈峰，高下

南京大学医学院附属南京鼓楼医院耳鼻咽喉－头颈外科，南京　210008

收稿日期:2010-03-14 修回日期:2010-05-10 出版日期:2010-06-16 发布日期:2010-06-16
通讯作者: 高下。 Email: xiagao213@yahoo.com.cn
作者简介:王俊国（1980- ），男，住院医师，主要从事耳科学与头颈肿瘤方面的研究。Email: wangjunguo1980@sina.com.cn

Treatment of earlystage glottic cancer with CO2 laser

WANG Junguo, SHEN Xiaohui, QIAN Xiaoyun, DAI Yanhong, CHEN Feng, GAO Xia

Department of Otorhinolaryngology & Head and Neck Surgery, Drum Tower Hospital of Nanjing University
Medical School, Nanjing 210008, China

Received:2010-03-14 Revised:2010-05-10 Online:2010-06-16 Published:2010-06-16

摘要/Abstract

摘要：

目的探讨CO2激光治疗早期声带癌（T1、T2）的疗效。方法回顾性分析经CO2激光治疗的26例早期声带癌（T1a期12例、T1b期2例和T2期12例）疗效和手术并发症。结果术后随访5～15个月，所有患者无严重并发症，发音功能恢复良好，复发3例（复发率11.5%），再次行CO2激光手术2例，行全喉切除术1例。结论 CO2激光手术具有手术创伤小、并发症少和发音功能保留满意等优点，是早期声带癌理想的治疗方法。

关键词: 声带癌，早期；CO2激光；微创

Abstract:

Objective To investigate the impact of transoral endoscopic CO2 laser microsurgery (TLM) for the treatment of T1 and T2 glottic cancer. Methods Twenty-six patients with early-stage glottic cancer (T1a＝12、T1b＝2 and T2＝12) treated with TLM were enrolled in this study. The outcome and the complications of the surgery were analyzed. Results No complication happened during the follow-up between 5 to 15 months. All the patients achieved satisfying post-operative voice. Recurrences were identified in 3 patients (11.5%). Two were treated by CO2 laser microsurgery again, while the other one was treated by total laryngectomy. Conclusions TLM is a good technique to treat the early-stage glottic cancer because of its minimal invasion, few complications and good voice preservation.

Key words: Stage glottic cancer， Early； CO2 laser； Minimally invasion

中图分类号:

R657.16

王俊国，沈晓辉，钱晓云，戴艳红，陈峰，高下. 早期声带癌的CO2激光微创治疗[J]. 山东大学耳鼻喉眼学报, 2010, 24(3): 19-21.

WANG Junguo, SHEN Xiaohui, QIAN Xiaoyun, DAI Yanhong, CHEN Feng, GAO Xia. Treatment of earlystage glottic cancer with CO2 laser[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(3): 19-21.

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