Wang Zhinan, Zhang Yamin, Ye Yuhua, Yao Wei, Xu Zhongqiang, Xia Zhongfang, Wang Shufen, Zhou Chengyong
Department of Otolaryngology, Wuhan Pleiades ENT Hospital Department of Otolaryngology, Wuhan Children's Hospital, Wuhan Department of Otolaryngology, First Affiliated Hospital of PLA General Hospital, China.
Medicine (Baltimore). 2017 Nov;96(44):e8237. doi: 10.1097/MD.0000000000008237.
The aim of the study is to investigate the advantages and disadvantages of low-temperature radiofrequency ablation of pharyngolaryngeal cyst.The study population was composed of 84 children diagnosed with pharyngolaryngeal cyst who underwent surgical treatment at the Department of Otolaryngology, Wuhan Children's Hospital, Wuhan, China, between January 1984 and December 2013. All patients were operated using a self-retaining laryngoscope and were divided into 3 groups: traditional cystectomy group (N = 9), dynamic cutting system group (N = 18), and low-temperature radiofrequency ablation group (N = 57). Clinical outcomes were analyzed to assess the efficacy of low-temperature radiofrequency ablation in treatment of pharyngolaryngeal cyst.Compared with traditional cystectomy group or dynamic cutting system group, operation time was shorter, bleeding was less and one-year recurrence rate was much lower in low-temperature radiofrequency ablation group. However, operation time and bleeding was not statistically different between traditional cystectomy and dynamic cutting system group.Low-temperature radiofrequency ablation may be an effective substitute for treating pharyngolaryngeal cyst.
本研究旨在探讨低温射频消融治疗咽喉囊肿的优缺点。研究对象为1984年1月至2013年12月在中国武汉儿童医院耳鼻咽喉科接受手术治疗的84例诊断为咽喉囊肿的儿童。所有患者均使用支撑喉镜进行手术，并分为3组：传统囊肿切除术组（N = 9）、动力切割系统组（N = 18）和低温射频消融组（N = 57）。分析临床结果以评估低温射频消融治疗咽喉囊肿的疗效。与传统囊肿切除术组或动力切割系统组相比，低温射频消融组的手术时间更短、出血更少且一年复发率更低。然而，传统囊肿切除术组和动力切割系统组之间的手术时间和出血量无统计学差异。低温射频消融可能是治疗咽喉囊肿的一种有效替代方法。
