咽喉肿物内镜微波微创治疗的临床研究

Clinical Research of Endoscopic Microwave Therapy for Throat Tumors

目的:探讨内镜微波治疗的疗效。方法:分组;(1)观察组:为85例咽喉肿物患者。(2)对照1组:为16例喉部肿物直径≤0.5cm,行“雀啄”钳取治疗的患者,与观察组中16例肿瘤直径相当的患者行对比疗效观察。(3)对照2组:为观察组中肿物直径>0.5cm的69例患者,此69例是在微波治疗前曾做钳取治疗失败后再做微波治疗者。结果:观察组中74例良性肿瘤当即切除治愈率为100％,1～3年无复发。余11例恶性肿物近期疗效满意,并转行放疗。对照1组治愈率为69％,对照2组基本无效且副反应较明显。结论:内镜微波治疗咽喉部肿物无创,可即时治愈,操作简便安全,有较好的功能保全性,易于推广应用。

To explore the effects of endosoopic microwave therapy (EMT) on throat tumors (TT). -Methods: One hundred and one patients with TT were divided into 3 groups. An observation group (n = 85) was treated by microwave coagulation or/and gasification (MCG). Control group I (n= 16) was compared with 16 same cases in the observation group. Their tumor's diameters were less than 0.5 cm and bit by forceps ('bird bite') respectively. Control group II(n=69) was failure in treatment by forceps before treatment by MCG. Their tumor's diameters were more than 0.5 cm respectively. Results: Benign tumors (.n = 74) were resected immediately in the observation group, their cure rate was 100% and didn't recur in 1 to 3 years. The short-term effects of resection were satisfactory in malignant tumors (n= 11). The cure rate was 69% in the control group I. The control group II failed to respond to treatment by forceps and side effects were serious. Conclusion: The EMT is a safe, easy and non-traumatic method for TT and has a good functional preservation.