支撑喉镜下低温等离子射频消融术与二氧化碳激光治疗声带白斑的疗效比较

Comparison between radiofrequency coblation and CO2 laser in treatment of vocal leukoplakia

摘要:

目的  比较低温等离子射频消融术与二氧化碳CO2激光治疗声带白斑的临床疗效。方法  回顾性分析分别采用等离子射频消融术（14例）、CO2激光（15例）治疗的29例声带白斑患者的临床资料，比较两种方法术后疼痛程度、术后创面愈合情况和首次手术局部复发控制率等。结果  两组术中术后疼痛差异无统计学意义；等离子组术后１个月黏膜恢复情况好于CO2激光组；等离子组14例患者，5例复发，复发率35.71%；CO2激光组15例患者，1例复发，复发率6.67%。结论  激光与等离子射频消融术均为治疗声带白斑的微创的手术方式，CO2激光组复发率低于等离子射频消融组

Abstract:

Objective To compare the curative effects between radiofrequency coblation and CO2 Laser in treatment of vocal leukoplakia. Methods Clinical data of 29 patients with vocal leukoplakia were retrospectively analyzed. 14 of them were using radiofrequency ablation, the other 15 were using CO2 laser as treatment. Then compare the postoperative pain, postoperative wound healing, the first operation control rate of local recurrence between the two groups. Results Postoperative pain between the two groups has no statistically significance. The mucosal recovery of radiofrequency group in 1 month after surgery was better than CO2 laser group. In radiofrequency group, 5 cases suffered recurrence, the recurrence rate was 35.71%; In CO2 laser group, only 1 case suffered recurrence, the recurrence rate was 6.67%. Conclusions Laser and radiofrequency ablation were minimally invasive treatment for vocal cord leukoplakia, while CO2 laser as treatment has lower recurrence rate.