经口激光显微手术治疗声门型喉癌的研究进展

Research Progress of Oral Laser Microsurgery in the Treatment of Glottic Laryngeal Carcinoma

喉癌属于头颈部一类常见恶性肿瘤,而声门型喉癌(GC)是最常见的一种类型,未及时治疗能引发失声以及呼吸困难等,对患者日常生活产生严重影响。当前,临床治疗时多选择以手术为主综合疗法,将彻底切除肿瘤作为原则,尽量保留或者重建患者喉部功能,提升其生存质量。经口激光显微手术(TLM)于喉癌治疗中历史悠久,能有效保留患者的喉部功能,损伤较小且更精确,能改善术后患者的生活质量。该文从TLM发展历史和现状、TLM常用激光类型和特点、TLM优越性、TLM治疗GC适应证以及TLM疗效几方面就近年来TLM在GC治疗中的研究进展作一综述,给临床提供一定指导作用。

Laryngeal cancer is a common malignant tumor of the head and neck,and glottic cancer(GC)is the most common type.Failure to treat in time can cause loss of voice and breathing difficulties,which have a serious impact on the patient's daily life.At present,surgery is the main choice for clinical treatment,and the principle of complete tumor removal is to preserve or reconstruct the patient's larynx function as much as possible to improve the quality of life.Oral laser microsurgery(TLM)has a long history in the treatment of laryngeal cancer.It can effectively preserve the patient's laryngeal function,with less damage and more precision,and can improve the quality of life of patients after surgery.The article summarizes the research progress of TLM in the treatment of GC in recent years from the development history and current situation of TLM,the types and characteristics of commonly used lasers in TLM,the superiority of TLM,the indications of TLM in the treatment of GC,and the efficacy of TLM in several aspects,and provides certain guidance for the clinic.