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喉乳头状瘤治疗的长期临床观察

Clinical Study on Treatment of Laryngeal Papilloma
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摘要 1968年3月~1991年3月,用4种不同方法治疗喉乳头状瘤86例,包括内窥镜下切除喉乳头状瘤58例,激光治疗14例,喉裂开术10例,免疫治疗4例。随访5年以上,68例无复发,18例复发,其中7例恶变。远期治愈率79.1/(68/86),复发率20.9%((18/86),恶变率8.1%(7/86)。认为本病有复发及恶变倾向。治疗应以内窥镜下彻底切除肿瘤和激光治疗为首选,病变范围广泛者应行喉裂开术,免疫治疗也可选择。 Eighty - six patients with laryngeal papilloma were treated by 4 kinds of metheds from March, 1968 to May, 1991, including removal of the tumor under endoscope for 58 cases, laser therapy for 14 cases, laryngofissure for 10 cases, immunotherapy for 4 cases. A five -year follow -up indicated no recurrence in 68 cases, recurrence in 18 cases, malignant change in 7 cases. It revealed curative rate of 79. 1% (68/86), recurrent rate of 20. 9% (18/86),cancerative rate of 8. 1% (7/86). It was concluded that laryngeal papilloma is a tumor associated with high frecluency of recurrence and canceration, Complete removal of the tumor under endoscope and laser therapy should be the first choice of treatments. In instances of extensive lesion, laryngofissure is required. Immunotherapy may be also used.
出处 《中国中西医结合耳鼻咽喉科杂志》 1998年第1期17-18,共2页 Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词 喉乳头状瘤 治疗 复发 恶变 喉肿瘤 Laryngeal Papilloma Recurrence Canceration
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