早期声门型喉癌钬激光与CO2激光手术对比研究

目的 比较钬激光与CO2激光手术治疗早期声门型喉癌临床疗效.方法 回顾性分析激光手术治疗早期声门型喉癌91例的患者临床资料(Tis,T1 N0 M0).依据治疗方式分为钬激光手术组56例,CO2激光手术组35例.对两组患者手术时间、出血量、并发症、住院时间、创面恢复时间和生存率等进行分析.结果 钬激光组与CO2激光组在...

Comparative study of holmium and CO2 laser surgeries for early glottic carcinoma

Objective To compare the clinical efficacies of holmium and CO₂ lasers in the treatment of early glottic carcinoma. Methods The clinical data of 91 patients with early glottic laryngeal carcinoma treated by laser surgery were retrospectively analyzed(T_is, T₁N₀M₀). Based on the treatment methods, the patients were divided into the holmium(56 cases)and CO₂(35 cases)laser surgery groups. The duration of surgery, blood loss, complications, hospital stay, wound recovery time, and survival rate were analyzed in the two groups. Results There were no statistically significant differences between the postoperative pain scores(P=0.55), hospital stay durations(P=0.99), complications rates(P=0.43), recurrence rates(P=0.59), and laryngeal preservation rates of the Holmium and CO₂ laser groups(P=0.64). The blood loss(P=0.02)and the durations of surgery(P<0.01)and wound healing of the two groups(P<0.01)were statistically significant. There was no significant difference between the 3-year survival rates of the two groups(P=0.69). Conclusion Holmium and CO₂ laser cordectomies have the same effect in the treatment of early glottic carcinoma, and the duration of the former is shorter. With familiarity with the application of the two types of laser, patients can avoid open surgery and undergo minimally invasive treatment of tumors.