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目的:探讨低温等离子射频消融术治疗舌根囊肿的可行性。方法:在全身麻醉气管内插管的条件下采用低温等离子射频消融术对14例舌根囊肿患者进行治疗,记录手术时间、出血量以及并发症,并进行随访。结果:14例患者囊肿均完全切除,其中12例患者在全身麻醉下进行了一次性治疗,2例患者在局部麻醉下进行了第2次手术。手术时间5～10min,术中出血1～5ml。术毕常规拔除气管导管,无气管切开患者。咽部异物感VAS评分由术前的83.1±11.2降至术后10.3±3.6,差异有统计学意义(P<0.01)。患者无明显咽痛、出血或呼吸困难等并发症,语音和舌根运动功能不受影响。随访7个月～3年,仅1例术后半年复发,治愈率为92.9%(13/14)。结论:低温等离子射频消融术治疗舌根囊肿具有创伤小、术后并发症少和复发率低的优点,为临床提供了一种新的治疗手段。
Objective: To investigate the feasibility of low temperature plasma radiofrequency ablation in the treatment of tongue root cyst. Methods: Totally 14 cases of tongue root cyst were treated with low temperature plasma radiofrequency ablation under general anesthesia with endotracheal intubation. The operation time, bleeding volume and complications were recorded and followed up. RESULTS: All 14 patients underwent complete resection of the cysts, 12 of whom underwent one-time treatment under general anesthesia and 2 underwent second surgery under local anesthesia. Surgery time 5 ~ 10min, intraoperative bleeding 1 ~ 5ml. Surgery routine removal of tracheal catheter, tracheotomy patients. VAS score of pharyngeal foreign body sensation decreased from 83.1 ± 11.2 preoperatively to 10.3 ± 3.6 postoperatively, with significant difference (P <0.01). Patients with no significant sore throat, bleeding or breathing difficulties and other complications, speech and tongue basement motor function is not affected. Followed up for 7 months to 3 years, only 1 case of recurrence six months after surgery, the cure rate was 92.9% (13/14). Conclusion: Low temperature plasma radiofrequency ablation for the treatment of tongue root cyst has the advantages of less trauma, less postoperative complications and low recurrence rate, which provides a new therapeutic approach for clinical treatment.