纤维喉镜下半导体激光治疗喉肿物30例

目的 探讨半导体激光治疗包括声带良性肿瘤、癌前病变等在内的喉肿物优点, 分析疗效。方法 表面麻醉, 在纤维喉镜引导下利用半导体激光切除声带或者喉室小结、息肉及声带白斑、乳头状瘤等喉肿物。术后采用口服药物或者雾化治疗消除手术水肿, 禁声1个月, 吸烟患者强制戒烟。结果 1个月后患者声嘶症状基本解决, 声带黏膜恢复良好。结论 纤维喉镜引导下半导体激光治疗喉肿物疗效好, 患者花费少, 痛苦小。

Treatment of laryngeal tumor with semiconductor laser and fiber laryngoscope (30 cases report)

Objective To analyze the curative effects and advantages of semiconductor laser surgery in benign throat tumor include: tumors of vocal cords and precancerous lesions. Methods With fiber laryngoscope, semiconductor laser was used to remove the polyps of vocal cords or laryngeal ventricle, vocal nodules, vocal leukoplakia, papilloma and so on under surface anesthesia. After the operation, all patients kept voice silence for 1 months, while symptomatic treatment to eliminate edema was applied at the same time. The recovery of voice was observed after one-month treatment. Result After semiconductor laser treatment, hoarseness were resolved and vocal mucosa recovered well. Conclusion With the guidance of fiber laryngoscope, semiconductor laser surgery is an effective treatment for laryngeal tumor.