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目的:观察电视硬管喉镜下低温等离子消融治疗会厌、舌根良性肿物的疗效。方法:162例患者,会厌囊肿32例,舌扁桃体肥大43例,舌根淋巴滤泡增生30例,舌扁桃体肥大合并舌根淋巴滤泡增生46例,舌根乳头状瘤8例,舌根囊肿3例。70°硬管喉镜下,先以喉钳钳取少许组织送病理检查,而后等离子凝固消融。术后口服抗生素及雾化吸入5天,生理盐水漱口,每日数次,保持口腔清洁,1周内进温凉软食,避免辛辣刺激。结果:术后1周复查,术区伪膜部分脱落,无感染及出血。1个月复查,咽异物感及粘痰等症状减轻,喉镜检查5例会厌表面、3例舌根表面尚有少许伪膜未脱落。3个月复查,所有患者原有症状消失,喉镜检查咽喉部结构无畸形、无疤痕,色泽正常。结论:电视硬管喉镜下低温等离子消融治疗会厌、舌根良性肿物,低温凝固无碳化,无烟雾,无辐射,术野清晰,操作部位准确,避免损伤舌根、会厌及周围正常组织,无出血。术后反应轻,恢复快,易为患者所接受。
OBJECTIVE: To observe the curative effect of low temperature plasma ablation by TV-tube laryngoscope in the treatment of epiglottis and tongue base benign masses. Methods: 162 patients, epiglottic cyst in 32 cases, tongue tonsils hypertrophy in 43 cases, 30 cases of tongue lymph follicular hyperplasia, tongue tonsil hypertrophy associated with lymphoid follicular hyperplasia in 46 cases, tongue papilloma in 8 cases, 3 cases of tongue root cyst. 70 ° laryngoscope, the first to take a small clamp of the laryngeal forceps to send pathological examination, and then plasma coagulation ablation. Oral antibiotics and inhalation after 5 days of inhalation, saline mouthwash several times a day to maintain oral hygiene, cool and soft diet within 1 week, to avoid spicy stimulation. Results: One week after operation, the pseudomembranous part of the operative area was exfoliated, with no infection and bleeding. 1 month review, pharyngeal foreign body sensation and phlegm and other symptoms reduced, 5 cases of laryngoscopy epiglottis surface, 3 cases of tongue surface is still a little pseudomembrane did not fall off. 3 months review, all patients disappear the original symptoms, laryngoscopy throat structure without deformity, no scars, normal color. Conclusions: Low-temperature plasma ablation of TV-tube laryngoscope treats epiglottis, benign tumor of tongue base, no carbonization, no smoke and no radiation in low temperature coagulation, clear operative field and accurate operation site to avoid damaging tongue base, epiglottis and surrounding normal tissue without bleeding . Postoperative reaction light, fast recovery, easy for patients to accept.