显微支撑喉镜下二氧化碳激光与高频电刀切除会厌囊肿的临床效果比较

Clinical effect of excise epiglottis cyst by CO_2 laser and high frequency under micro-laryngoscope

目的比较显微支撑喉镜下二氧化碳CO_2激光和传统高频电刀切除会厌囊肿的临床疗效。方法选取44例会厌囊肿患者,随机分为观察组与对照组各22例,所有患者均在全麻支撑喉显微镜下进行手术。观察组采用CO_2激光,对照组采用高频电刀进行手术。比较两者术中、术后临床适用性。结果 CO_2激光与传统高频电刀相比手术时间明显缩短,术后疼痛评分明显低,且差异有统计学意义。CO_2激光手术精准程度高,可完整切除囊肿,对周围组织的损伤程度明显轻于高频电刀。两者在术后复发情况上无差异,均无1例复发。结论显微支撑喉镜下CO_2激光治疗会厌囊肿具有切割精准、囊壁不易破损、操作方便和副损伤小等优点。

Objective To compare the clinical feasibility of excising epiglottis cyst by CO2laser and high frequency under laryngomicroscope.Methods44cases with epiglottic cysts were divided into two groups,with22cases in observation group(OG)and also22cases in control group(CG).All patients were operated by a laryngomicroscopic surgery under a general anesthesia,while cases in OG under CO2laser and patients in CG under high frequency electric knife to remove the cyst.Then,analyse and compare the clinical feasibility.Results The average operating time is significantly shorter,and the VAS of sore throat is obviously lower in OG than that in CG.Thanks to the accurate and precise operation by CO2laser,the epiglottis cysts are able to be removed intact,the surrounding tissues and epiglottic cartilage are better protected.There is no recurrence in both groups.Conclusion The operation performed with CO2laser under micro-laryngoscope holds such advantages as accurate and easy to operate,better protect cyst wall,and fewer side hurting.