低温等离子刀切除舌根增生性肿物40例报告

Coblation for benign hyperplasia of the tongue base

目的探讨低温等离子刀切除舌根增生性肿物的效果。方法选取应用低温等离子刀舌根良性增生性肿物切除术40例,分别对患者术前及术后2周、术后6个月的咽部异物感、吞咽梗阻感、咽部疼痛感等主观症状应用VAS量表评分。结果所有患者术中仅少量出血或无出血,术后创面无出血。术前患者咽部异物感、吞咽阻挡感、咽部疼痛感等主观症状VAS评分为(38.8±5.94)分,术后2周患者VAS评分为(7.50±2.96)分,差异有统计学意义。6个月随访,舌根部创面光滑,无复发。患者咽部异物感、吞咽阻挡感、咽部疼痛感等主观症状VAS评分为(7.25±2.67)分,与术后2周VAS评分差异无统计学意义。结论低温等离子刀治疗舌根增生性肿物疗效显著,具有出血量少、术后疼痛轻、术后并发症少等优点。

Objective To explore the clinical effects of coblation for hyperplasia of the tongue base. Method A total of 40 cases using low-temperature plasma during the period of January 2015 to December 2016 were retrospectively analyzed. Subjective symptoms such as pharyngeal pain,pharyngeal foreign body sensation and swallowing barrier were assessed before the operation and 2 weeks,6 months after the operation via VAS scores. Results All patients had a small amount of bleeding or no bleeding during surgery and no postoperative wound bleeding. The VAS score of preoperative subjective symptoms was 38. 8 ± 5. 94. At 2-week follow-up after surgery,the VAS score was 7. 50 ± 2. 96,and difference between the two groups was statistically significant. At 6-month follow-up,the wound surface was smooth and no recurrence was observed. The VAS score was 7. 25 ± 2. 67 and there was no statistical difference between2-week follow-up and 6-month follow-up. Conclusion Lowtemperature plasma in the treatment of tumor of the tongue has obvious therapeutic effects of less bleeding,postoperative pain and complications.