二氧化碳激光及低温等离子联合术式治疗喉部巨大血管瘤的临床观察*

Joint operation of CO2 laser and plasma radiofrequency ablation in treatment of the huge laryngopharyngeal and laryngeal hemangioma*

摘要:

探讨支撑喉镜下二氧化碳CO2激光及等离子消融联合术式治疗喉部巨大血管瘤的方法及疗效。方法 利用支撑喉镜下CO2激光及等离子消融联合术式微创切除15例喉部巨大血管瘤。结果 所有患者术后随访9个月～3年，1例术后14个月原位复发，再次行支撑喉镜下CO2激光及等离子消融联合术式微创切除，随访2年以上无复发。患者术后疼痛轻微，呼吸、吞咽和发音等喉功能保全好，均无气管切开，无1例患者出现呼吸困难和出血等严重并发症。结论 支撑喉镜下CO2激光及等离子消融联合术式微创切除喉部巨大血管瘤是一种微创、安全、疗效确切的治疗方法，值得临床推广。

Abstract:

To establish the way and curative effect of joint operation of CO2 laser and low temperature plasma radiofrequency ablation for giant hemangioma of the larynx. Methods We tried to using joint operation of CO2 laser and low temperature plasma radiofrequency ablation for 15 patients with giant hemangioma of the larynx. Results We followed up all the patients from 9 months to three years. One case recurred and treated by minimally invasive operation one more time, without recurrence after two years. The patients with mild pain and their laryngeal function were better protected. All the cases without incision of tracheal and no severe complications such as dyspnea and hemorrhage occurred. Conclusion The joint operation treatment of CO2 laser and low temperature plasma radiofrequency ablation for giant hemangioma of the larynx holds advantages of micro-traumatic, safe and effective, and worthy to be extended on clinical.