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目的:自1982年起对324例鼻息肉患者应用各种激光治疗方法后,将其治疗后的体会给予报导。方法:用3种不同的方法对324例鼻息肉患者分别进行治疗。第一组对132例患者采用CO2激光及鼻息肉圈套器摘除治疗;第二组对98例鼻腔小息肉或中鼻甲息肉样变患者采用Nd:YAG激光治疗;第三组对44例巨大及多发性鼻息肉患者,因高血压、心脏病、年老体弱、反复发作的鼻息肉而不能或不愿接受手术治疗的采用钬激光治疗。结果:324例中治愈224例占69.2%,好转者85例占26.2%,无效者15例占4.6%。讨论:CO2激光可作为鼻息肉摘除术的辅助治疗;Nd:YAG激光适用于治疗鼻腔较小息肉或中鼻甲息变者;钬激光对巨大及多发性鼻息肉可经数次治疗后息肉消失。我们认为激光治疗鼻息肉是一种较好的姑息性治疗方法,尤其在全身条件差不能接受手术者,治疗后可恢复鼻腔通气,出血少,手术简便,病人痛苦少。
Objective: Since 1982, 324 patients with nasal polyps after the application of various laser treatment methods, the treatment of their experience to be reported. Methods: 324 patients with nasal polyps were treated with three different methods. The first group of 132 patients treated with CO2 laser and nasal polyps snare device enucleation; the second group of 98 cases of nasal polyps or middle turbinate polyp specimens of patients with Nd: YAG laser treatment; the third group of 44 cases of massive and multiple Patients with nasal polyps, holmium laser treatment due to hypertension, heart disease, frail, recurrent nasal polyps who can not or do not want surgery. Results: Among 324 cases, 224 cases were cured, accounting for 69.2%, 85 cases improved, accounting for 26.2% and 15 cases, 4.6%. Discussion: CO2 laser can be used as adjuvant treatment of nasal polyp removal; Nd: YAG laser is suitable for the treatment of small polyps or middle turbinate nasal change; holmium laser on the huge and multiple nasal polyps can be treated after several polyps disappear. We believe that laser treatment of nasal polyps is a better palliative treatment, especially in poor general condition can not accept surgery, nasal ventilation can be resumed after treatment, less bleeding, the operation is simple, less painful patients.