山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (4): 6-9.doi: 10.6040/j.issn.1673-3770.1.2019.037

• 专家笔谈 • 上一篇    下一篇

早期声门癌的内镜治疗

刘鸣*()   

  1. 哈尔滨医科大学附属第二医院耳鼻咽喉头颈外科，黑龙江 哈尔滨 150086
  • 收稿日期:2019-06-02 出版日期:2019-07-16 发布日期:2019-07-22
  • 通讯作者: 刘鸣 E-mail:liumingorl@qq.com
  • 作者简介:刘鸣,教授，二级教授，主任医师，博士(PhD)，博士后，博士生导师，科主任，教研室主任，哈医大二院五官医院副院长。黑龙江省领军人才梯队带头人，黑龙江省级重点学科带头人，哈尔滨医科大学优势学科带头人，黑龙江省卫生系统有突出贡献中青年专家，黑龙江省首届“龙江名医”，中国医师协会耳鼻咽喉科医师分会第四届《名医奖》。主要学术任职：2008~2015年担任黑龙江省医学会耳鼻咽喉头颈外科分会主任委员;中华医学会耳鼻咽喉头颈外科分会第九、十、十一届全国委员。现任黑龙江省医师协会耳鼻咽喉科分会主任委员，黑龙江省耳鼻咽喉医疗质量控制中心主任，中华医学会耳鼻咽喉头颈外科分会头颈外科学组顾问，中国医师协会耳鼻咽喉科分会常务委员、头颈学组副组长，中国抗癌协会头颈外科专业委员会常务委员，中国医疗保健国际交流促进会耳鼻咽喉科分会常务委员。《中华耳鼻咽喉头颈外科杂志》等期刊编委，全国高等学校五年制本科临床医学专业教材《耳鼻咽喉头颈外科学》(第九版)编委

Transoral laser microsurgery for early glottic neoplasms

Ming LIU*()   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang, China
  • Received:2019-06-02 Online:2019-07-16 Published:2019-07-22
  • Contact: Ming LIU E-mail:liumingorl@qq.com

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摘要：

随着微创技术的不断成熟，早期声门型癌大多采取内镜下手术治疗。自上个世纪70年代CO2激光引入早期喉癌的治疗以来，因其无颈部及气管切开、术后并发症少、住院时间短、病人恢复快、喉功能保存好等优点，越来越被广泛应用，已被公认为首选的内镜手术方式。就经口CO2激光治疗早期声带癌的适应证、并发症、局限性、手术分型等内容进行讨论，在综述早期声门癌内镜治疗的历史及发展的同时，特别强调早期声带癌内镜手术中遵循肿瘤外科原则的重要性。

关键词: 声门, 喉肿瘤, 喉功能保留, 激光手术, 治疗结局

Abstract:

With the development of minimally invasive technology, most of early glottic carcinoma is treated by endoscopic surgery. Since CO2 laser was introduced into the treatment of early laryngeal carcinoma in the 1970s, it is widely due to its advantages. It does not require an neck incision and tracheotomy, and it is associated with less postoperative complications, shorter hospital stay, faster rapid recovery of patients, better preservation of laryngeal function and so on. Surgery with CO2 is recognized as the preferred endoscopic surgery for treating glottic cancers. The indications, complications, limitations and surgical classification of oral CO2 laser in the treatment of early vocal cord carcinoma are discussed in this paper. In addition, the history and development of endoscopic treatment of early glottic carcinoma are reviewed, and the importance of the oncological principles during the surgery of malignant tumor are emphasized.

Key words: Glottis, Laryngeal neoplasms, Larynx function preservation, Laser surgery, Treatment outcome

中图分类号: 

  • R739.6
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