成人喉乳头状瘤低温等离子射频切除21例

目的 探讨使用等离子射频切除治疗成人喉乳头状瘤的疗效。方法 回顾性分析经等离子射频切治疗的21例喉乳头状瘤患者的临床资料。结果 所有患者均经内镜支撑喉镜下使用Arthrocare Reflex7070#刀头一次性完整切除乳头状瘤。均无气管切开。手术时间约2～11min，平均4min。术中出血量约1～13mL，平均3mL。术后进食及发音正常，无术后出血等并发症。手术部位局部伪膜术后4～6周完全脱落。局部无明显的瘢痕。局部随访1年～3年9个月，4例次复发，平均复发时间间隔为7个月。结论 内镜支撑喉镜下应用等离子射频治疗喉乳头状瘤是一种微创且有效的手术方法。

Coblation for laryngeal papilloma in 21 adults.

Objective To explore the efficacy of coblation for laryngeal papilloma in adults. Method A retrospec- tive analysis of 21 cases of laryngeal papilloma treated by coblation was made. Results All the papillomas were completely removed in one session with Arthrocare ReflexT070# under endoscopic suspension laryngoscope without tracheotomy. Operation time was about 2 to 11 min with an average of 4 min. Blood loss was about 1 to 13 ml with an average of 3 ml. There was no postoperative complication related to eating or pronunciation. Local pseudomem- branous in surgical site completely fell off 4 to 6 weeks later without obvious scarring. During the follow-up, which was carried out from 1 year to 3 years and 9 months, there were 4 cases of recurrence with the average recurrence in- terval at seven months. Conclusion Coblation is a minimally invasive and effective surgical method for laryngeal papilloma in adults under endoscopic suspension laryngoscopy.