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目的探讨低温等离子射频消融术在早期声门型喉癌治疗中的临床应用及近期疗效。方法回顾分析23例(T1a17例,T1b6例)行低温等离子射频消融治疗的早期声门型喉癌有效随访患者临床资料,手术使用Arthro CareⅡ型低温等离子系统,喉镜下充分暴露声门肿瘤,采用7070型等离子射频刀头一次性完整切除肿瘤。观察手术效果及局部复发情况。结果所有患者肿瘤均一次性切除,术后声门区结构和喉功能保全良好,切缘于2~4周完成上皮化,术后无严重并发症,随访至今未见局部复发及区域淋巴结转移。结论低温等离子射频消融治疗早期声门型喉癌并发症少,局部控制率高及喉功能保全良好,近期疗效可靠。
Objective To investigate the clinical application of low-temperature plasma radio-frequency ablation in the treatment of early glottic laryngeal cancer and its short-term curative effect. Methods The clinical data of 23 patients with early stage glottic laryngeal cancer treated with low-temperature plasma radiofrequency ablation were retrospectively analyzed. ArthroCare II hypothermia plasma was used in the surgery. The glioma was fully exposed under the laryngoscope. 7070 plasma radio frequency cutting a complete one-time tumor removal. Observed the effect of surgery and local recurrence. Results All patients had a one-time resection of the tumor. The structure of the glottis and the preservation of the laryngeal function were well preserved. The resection was completed in 2 to 4 weeks. There was no serious complication after the operation. No local recurrence and regional lymph node metastasis were observed up to now. Conclusion Low-temperature plasma radiofrequency ablation of early glottic laryngeal cancer less complications, high local control rate and good preservation of laryngeal function, the recent curative effect is reliable.