Nd:YAG激光治疗耳鼻咽喉囊肿123例疗效观察

Therapeutic effects of Nd:YAG laser operation in treating 123 cases of cysts of otolaryngology

目的:探讨Nd:YAG激光治疗耳鼻咽喉囊肿的疗效。方法:表面麻醉或局部浸润麻醉下,Nd:YAG激光治疗会厌囊肿51例,鼻咽咽囊囊肿15例,扁桃体囊肿46例,耳廓假性囊肿6例,鼻前庭囊肿5例。结果:术后1个月至年复诊。所有复诊的耳廓假性囊肿(6例)和扁桃体囊肿(41例)病人均一次性治愈,无复发。鼻咽咽囊囊肿1例、扁桃体囊肿5例、会厌囊肿6例治疗后失访。1例鼻咽咽囊囊肿病人术后仍有少许后鼻滴涕症状,一个月后行二次YAG激光治疗,治愈。两例巨大会厌囊肿病人术后一个月复查时发现原发囊肿部位仍有小囊肿存在,行二次YAG激光治疗,治愈。1例鼻前庭囊肿1月后复发,改行唇龈沟切口切除,术中见粘连较重。结论:Nd:YAG激光治疗会厌囊肿、鼻咽咽囊囊肿、扁桃体囊肿是一种较为理想的方法,值得推广使用。而耳廓假性囊肿与鼻前庭囊肿,Nd:YAG激光治疗局部反应较重,打孔处有瘢痕,未推广使用。

Objective：To discuss the therapeutic effects of Nd：YAG laser operation in treating the cysts of otolaryngology.Meth-ods：51 patients with epiglottic cysts,15 patients with pharyngeal pouch cysts,46 patients with tonsil cysts,6 patients auricular pseudo-cysts,5 patients with nasal vestibule cysts were treated with Nd：YAG laser operation.Results：After 1 month-1 year follow-up. All au-ricular pseudocyst （6 cases） and tonsil cyst （41 cases） of the patients were one-time cure, no recurrence. 1 case of pharyngeal pouch cyst, five cases of tonsil cysts, six cases of epiglottis cysts were lost to follow after treatment. One case of pharyngeal pouch cyst pa-tients, after operation still have some symptoms of postnasal drip. A month later, the patient underwent secondary Nd：YAG laser treat-ment to cure. Two cases of patients with giant cysts of epiglottis , after one month later and found in the primary cyst site is still small cyst exist. Underwent secondary YAG laser treatment to cure. One case of nasal vestibule cyst patients relapsed after a month,under-went a labiogingival groove approach to cure.Conclusion：The method of Nd-YAG laser in treating epiglottis cyst, pharyngeal pouch cyst and tonsillar cyst is one of the ideal methods should be introduced. In treating auricular pseudocyst and nasal vestibule cysts is not recommended. After operation local swelling reaction was violent and there were scars at the punch.