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目的探讨可视喉镜等离子系统切除会厌舌根病变的适应证和手术方法,总结运用这种方法进行手术切除会厌舌根病变的经验。方法对经常规检查临床初诊为会厌舌根乳头状瘤、舌扁桃体增生、会厌囊肿等良性病变的患者,在可视喉镜等离子手术系统下进行病变切除,术后随访病变复发与并发症情况。结果经过临床初诊符合条件的舌根会厌良性病变患者71例,其中会厌囊肿44例,会厌舌根乳头状瘤17例,舌扁桃体增生10例。均经气管插管全麻,在可视喉镜和等离子手术系统辅助下完成病变切除。术后均恢复良好,除2例迟发型术后出血外,无其他并发症。其中舌扁桃体增生和舌根会厌乳头状瘤均经病理最后确诊。随访6~18个月,病变均无复发。结论舌根会厌良性病变可以在可视喉镜等离子系统下方便快捷的经口切除,该术式具有暴露充分、视野宽广、切除彻底、创伤小、安全性良好、并发症少和疗效确切的优点。
Objective To investigate the indications and surgical methods of visual laryngoscope plasma system for the removal of the pubesophagengeal tongue root lesion and to summarize the experience of using this method in the surgical removal of the epiglottis tongue lesion. Methods Patients with benign lesions of papillary papilloma, lingual tonsil hyperplasia and epiglottis cyst were routinely examined in patients undergoing primary laryngectomy. The lesions were removed under the visual laryngoscope plasma surgery system and the recurrence and complications were followed up. Results After initial clinical examination, 71 patients with benign tongue basement disease, including epiglottic cyst in 44 cases, epiglottis papilloma in 17 cases, tongue tonsils hyperplasia in 10 cases. All tracheal intubation anesthesia, with the help of video laryngoscopy and plasma surgery system to complete the lesion. All patients recovered well after operation, except for 2 late-onset postoperative bleeding without other complications. One tongue tonsils hyperplasia and tongue epiglottis papilloma were finally confirmed by pathology. Follow-up 6 to 18 months, no recurrence of lesions. Conclusions Tongue epiglottic benign lesions can be easily and quickly removed by the visual laryngoscope plasma system. The technique has the advantages of full exposure, wide field of vision, thorough resection, small trauma, good safety, less complications and definite curative effect.