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目的探讨显微支撑喉镜下应用钬激光治疗喉部肿瘤及喉瘢痕狭窄的临床疗效。方法 8例喉部肿瘤及喉瘢痕狭窄患者,均在全麻下行显微支撑喉镜下钬激光手术治疗,术后随访6~12个月。结果 8例中喉癌4例,术后随诊6~12个月发音基本满意,无复发;喉癌术后喉狭窄3例,随诊6~12个月未发生再次狭窄;喉乳头状瘤1例,随诊8个月无复发。结论对喉部良性肿瘤、早期喉癌及喉气管狭窄等病变行显微支撑喉镜下钬激光手术,具有手术创伤小、患者恢复快、术后并发症较少等特点。
Objective To investigate the clinical effects of holmium laser in the treatment of laryngeal neoplasms and laryngeal scar stenosis under microscopic support laryngoscope. Methods Eight patients with laryngeal neoplasms and laryngeal scar stenosis underwent general anesthesia undergoing laryngoscope holmium laser surgery. The patients were followed up for 6 to 12 months. Results Four cases of laryngeal carcinoma were found in 8 cases. The follow-up of 6 to 12 months after operation was basically satisfactory with no recurrence of laryngeal carcinoma. Three cases of laryngeal laryngeal stenosis were followed up for 6-12 months. No laryngeal papilloma 1 case, followed up for 8 months without recurrence. CONCLUSIONS: Laryngeal holmium laser under the condition of minimally invasive laryngoscope for benign throat, early laryngeal cancer and laryngotracheal stenosis has the advantages of less trauma, faster recovery and fewer postoperative complications.