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早期声带癌的CO_2激光微创治疗 被引量:5

Treatment of early-stage glottic cancer with CO_2 laser
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摘要 目的探讨CO2激光治疗早期声带癌(T1、T2)的疗效。方法回顾性分析经CO2激光治疗的26例早期声带癌(T1a期12例、T1b期2例和T2期12例)疗效和手术并发症。结果术后随访5~15个月,所有患者无严重并发症,发音功能恢复良好,复发3例(复发率11.5%),再次行CO2激光手术2例,行全喉切除术1例。结论 CO2激光手术具有手术创伤小、并发症少和发音功能保留满意等优点,是早期声带癌理想的治疗方法 。 Objective To investigate the impact of tran-soral endoscopic CO2 laser microsurgery(TLM) for the treatment of T1 and T2 glottic cancer.Methods Twenty-six patients with early-stage glottic cancer(T1a=12、T1b=2 and T2=12) treated with TLM were enrolled in this study.The outcome and complications of the surgery were analyzed.Results No complication happened during the follow-up of between 5 to 15 months.All patients achieved satisfactory post-operative voice.Recurrences were identified in 3 patients(11.5%).Two were again treated by CO2 laser microsurgery,while the other one was treated by total laryngectomy.Conclusions TLM is a good technique to treat early-stage glottic cancer because of its minimal invasion,few complications and good voice preservation.
出处 《山东大学耳鼻喉眼学报》 CAS 2010年第3期19-21,共3页 Journal of Otolaryngology and Ophthalmology of Shandong University
关键词 声带癌 早期 CO2激光 微创 Stage glottic cancer Early CO2 laser Minimal invasion
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