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目的:比较显微支撑喉镜下二氧化碳激光与高频电刀切除会厌囊肿的临床疗效。方法:回顾性分析我科自2015年1月-2015年11月收治的52例会厌囊肿患者的病例资料,按治疗方法的不同分为观察组27例,对照组25例,观察组使用显微支撑喉镜下二氧化碳激光手术,对照组支撑喉镜下高频电刀手术,比较两者手术时间、手术出血量、术后出血率、手术切除率及术后复发率之间的差异,评价两种手术方式的临床疗效。结果:观察组患者平均手术时间10.79±3.37 min,平均手术出血量3.96±1.52mL,术后无出血(0/27),手术切除率100%(27/27),术后无复发(0/27)。对照组患者平均手术时间13.57±4.11 min,手术出血量13.26±3.95 mL,术后2例出血(2/25),手术切除率84%(21/25),术后复发率20%(5/25)。两组术后出血发生率比较差异无统计学异议(p>0.05),观察组平均手术时间明显短于对照组,手术切除率明显高于对照组,手术出血量、术后复发率均显著低于对照组,差异均具有统计学意义(P<0.05)。结论:显微支撑喉镜下二氧化碳激光会厌囊肿切除术较高频电刀切除术具有手术时间短,术中出血量少,手术切除率高及复发率低的优点。
OBJECTIVE: To compare the clinical efficacy of carbon-dioxide laser and high-frequency electrocautery in the treatment of epiglottic cysts under microscopic support laryngoscopy. Methods: A retrospective analysis of 52 cases of epiglottis cyst in our department from January 2015 to November 2015 was divided into observation group (27 cases) and control group (25 cases). Observation group used microscopy The laryngoscope capillaries were supported by carbon dioxide laser and the control laryngoscope was operated by high frequency electrosurgical knife. The difference between the operation time, the amount of bleeding, the rate of postoperative bleeding, the rate of resection and the rate of postoperative recurrence were evaluated. The clinical efficacy of the surgical approach. Results: The average operation time was 10.79 ± 3.37 min in the observation group, the mean operative bleeding was 3.96 ± 1.52 mL, no bleeding after surgery (0/27), 100% (27/27) resection, no recurrence after operation (0 / 27). The mean operation time was 13.57 ± 4.11 min in control group, 13.26 ± 3.95 mL in operation, and 2 of 25 cases in operation. The surgical resection rate was 84% (21/25) and the recurrence rate was 20% (5 / 25). There was no significant difference in the incidence of postoperative bleeding between the two groups (p> 0.05). The mean operative time in the observation group was significantly shorter than that in the control group, and the surgical resection rate was significantly higher than that in the control group. The bleeding volume and postoperative recurrence rate were significantly lower In the control group, the differences were statistically significant (P <0.05). Conclusions: Compared with high frequency electrosurgical excision of CO2 laser epiglottum cyst under microscopic support laryngoscopy, the electrosurgical excision has the advantages of short operation time, less intraoperative blood loss, high surgical resection rate and low recurrence rate.