不同方法治疗早期声门型喉癌患者的疗效对比分析
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荆门市人民医院荆楚理工学院附属中心医院

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2021年荆门市科技局重点项目(2021YFZD016)


Comparative analysis of curative effects of different methods in the treatment of patients with early-stage glottic laryngeal carcinoma
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1.Department of Otolaryngology,Jingmen People'2.'3.s Hospital,Jingchu Institute of Technology Affiliated Central Hospital

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    【】目的 研究早期声门型喉癌患者行不同方法治疗的效果。方法:数据取自本院60例早期声门型喉癌患者,根据“治疗差异”分A组(支撑喉镜下CO2激光术,n=20)、B组(低温等离子射频消融术,n=20)及C组(喉切除术,n=20),三组疗效比较。结果:三组比较并发症、复发率无差异,P>0.05;与A组、C组比较,B组手术时间更短,术中出血量更少,VAS、黏膜恢复评分更低;首次经口进食、首次发声及住院时间更短;喉功能改善率更高,P<0.05。结论:早期声门型喉癌患者行低温等离子射频消融术可改善喉部功能、减轻疼痛,促进创面黏膜恢复、缩短疗程,值得推崇。

    Abstract:

    【】Objective To study the effect of different treatment methods in patients with early-stage glottic laryngeal carcinoma. Methods: The data were collected from 60 patients with early-stage glottic laryngeal cancer in our hospital. According to the "treatment difference", they were divided into group A (CO2 laser with support laryngoscope, n=20) and group B (low-temperature plasma radiofrequency ablation, n=20). 20) and group C (laryngectomy, n=20), the curative effect of the three groups was compared. Results: There was no difference in the complication and recurrence rate among the three groups, P>0.05; compared with group A and group C, group B had shorter operation time, less intraoperative blood loss, lower VAS and mucosal recovery scores; Eating, first vocalization and hospital stay were shorter; laryngeal function improved rate was higher, P<0.05. Conclusion: Low-temperature plasma radiofrequency ablation in patients with early-stage glottic laryngeal carcinoma can improve laryngeal function, relieve pain, promote the recovery of wound mucosa, and shorten the course of treatment, which is worthy of praise.

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  • 收稿日期:2024-01-13
  • 最后修改日期:2024-03-24
  • 录用日期:2024-03-25
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