低温等离子射频治疗成人喉乳头状瘤的初步观察

目的 探讨低温等离子射频切除术治疗成人喉乳头状瘤的可行性.方法 回顾性分析2008年4月至2010年6月治疗的18例喉乳头状瘤患者的临床资料,其中多发性喉乳头状瘤4例,单发喉乳头状瘤14例,患者均经口气管插管全麻,内镜支撑喉镜下应用7070号等离子射频刀切除肿瘤.结果 术中出血约1～10 ml,平均2 ml,术后无出血及其他并发症.随访6至33个月,中位随访时间18个月,16例患者未见复发;2例分别于术后4个月和8个月复发,再次等离子射频切除术,术后分别随访4个月和12个月,1例再次复发,另1例未见复发.结论 内镜支撑喉镜下应用低温等离子射频切除术治疗成人喉乳头状瘤具有出血少、损伤小等优点,是一种较好的手术方法.

Coblation treatment for laryngeal papilloma in adult

Objective To evaluate the effect and feasibility of coblation treatment for laryngeal papilloma in adult. Methods A total of 18 patients with laryngeal papilloma treated by coblation from April 2008 to June 2010 was retrospectively analysed. There were 4 cases of multiple laryngeal papilloma and 14 cases of single laryngeal papilloma. All of these patients were treated with CoblatorTM Reflex #7070 under general anesthesia without tracheotomy. Results The volumes of blood loss during surgery varied from l ml to 10 ml, 2 ml on average. There was no postoperative bleeding or other complications. Follow-ups ranged from 6 months to 33 months after surgery, median 18 months. Recurrence occurred 4 months and 8 months after surgery in two patients. They were treated with coblation for the second time and followed up for 4 months and 12 months respectively. Recurrence occurred again in one patient. Conclusion Coblation under suspension laryngoscope for laryngeal papilloma in adult was an ideal way due to less bleeding and less damage.