Frame J W, Morgan D, Rhys Evans P H
Department of Oral Surgery, Queen Elizabeth Hospital, Birmingham.
Br J Oral Maxillofac Surg. 1988 Dec;26(6):464-71. doi: 10.1016/0266-4356(88)90067-8.
A clinical study was undertaken in 21 patients to assess the effects of past radiotherapy on complications after tongue resection with the CO2 laser. Ten of the 11 irradiated patients experienced postoperative problems such as pain, haemorrhage, oedema, infection, delayed healing and poor function, while only one of the 10 non-irradiated patients had a problem due to minor bleeding after laser surgery. It is concluded that the CO2 laser is useful for primary excision of accessible tumours in the anterior tongue, but may be associated with more postoperative complications if the tongue has previously been irradiated. Where the tongue resection is part of a more radical excision, the CO2 laser is less advantageous.
对21例患者进行了一项临床研究，以评估既往放疗对二氧化碳激光舌切除术后并发症的影响。11例接受过放疗的患者中有10例出现了术后问题，如疼痛、出血、水肿、感染、愈合延迟和功能不佳，而10例未接受过放疗的患者中只有1例因激光手术后轻微出血出现问题。结论是，二氧化碳激光可用于舌前部可触及肿瘤的初次切除，但如果舌头先前接受过放疗，可能会出现更多术后并发症。在舌切除是更广泛切除的一部分的情况下，二氧化碳激光的优势较小。
