可视喉镜下低温等离子治疗会厌肿物

Low-temperature Plasma Resection of Epiglottis Tumor Under Visual Laryngoscope

目的 探讨可视喉镜下低温等离子治疗会厌肿物的效果。方法2014年8月～2015年3月18例较大会厌肿物在全麻插管可视喉镜下进行低温等离子切除，助手把持可视喉镜，暴露病变部位，术者一手持喉钳提起肿物，另一手持低温等离子刀头行会厌肿物切除。结果18例均顺利完成手术，术中病变暴露完全，会厌创面周围黏膜轻微水肿，无肿物残留。18例术后随访2～6个月，平均4个月，除1例仍诉咽喉部异物感外，其余17例未诉其他不适。1例神经鞘膜瘤术后5个月复发，行再次手术，仍在随访中。结论可视喉镜下低温等离子切除会厌肿物操作简单方便，病变切除彻底，手术安全，是一种理想的手术方法。

Objective To explore the effects of low-temperature plasma resection under laryngoscope for epiglottis tumor. Methods Eighteen cases of large epiglottis tumor underwent low-temperature plasma resection under visual laryngoscope with general anesthesia and intubation from August 2014 to March 2015. The laryngoscope was held by an assistant to expose lesions, and the operator lifted the tumor with laryngeal forceps by one hand and performed low-temperature plasma resection of epiglottis tumor by another hand. Results All the eighteen cases were successfully operated, Intraoperatively, lesions were completely exposed, and slight mueosal edema was found around the surgical wound. No residual tumor was found. The eighteen cases were followed up for 2 - 6 months （average, 4 months）. Except for one case of throat foreign body sensation complained of, the remaining 17 cases didn＇t complain of other discomforts. One case of nerve sheath tumor relapsed after five months, which was given a secondary surgery and was still in follow-up. Conclusion Epiglottis tumor resection by low-temperature plasma under visual laryngoscope has advantages of simple performance, thorouzh resection, and good safetv, being an ideal surgical method.