舌根良性增生性肿物等离子射频消融术

Coblation for benign hyperplasia of tongue base under endoscope

目的:探讨等离子射频消融术治疗舌根良性增生性肿物的疗效。方法:采用等离子射频消融术治疗包括舌根扁桃体肥大、淋巴管瘤及乳头状瘤等舌根良性增生性肿物患者50例。对术后疼痛、出血及疗效等进行观察,术后随访16～32个月。结果:均一次性完整切除舌根良性增生性肿物。术后均无明显疼痛主诉。术后当天即可进食。术后无发声及呼吸等功能障碍。咽部异物感等主观症状VAS评分从术前的(81.5±9.6)分降至术后的(13.5±3.9)分(P<0.01)。临床治愈率96%,显效率4%,总有效率100%。均无复发。结论:等离子射频消融术治疗舌根良性增生性肿物是一种安全、有效且微创的治疗方法。

Objective： To investigate the feasibility and efficacy of cohlation on benign hyperplasy of tongue base under endoscopy. Method：Fifty cases with benign hyperplasy at tongue root including tonsillar hypertrophy, lymphangioma and papilary epithelioma were treated with coblation under endoscopy and analyzed retrospectively. The post-operative Hemorrhage and pain and therapeutic effect were observed. And the follow-up was 16 to 32 months. Result： All the tumors were resected completely. The postoperative pain was mild. The patients could eat on the day of surgery without dysfunction of pronunciation and respiratory. The VAS score of foreign body sensation in pharynx was decreased from 81. 5± 9. 6 to 13. 5 ±3. 9 after surgery（P〈0.01）. The recovery rate was 96%, excellence rate was 4% and total effective rate was 100%. Besides, there was no recurrence. Conclusion：Coblation is a safe, effective and minimally invasive way to treat benign hyperplasy of tongue base under endoscopy.