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支撑喉镜下 CO2 激光切除会厌囊肿的临床效果。

Clinical effect of CO laser resection of the epiglottic cyst under micro-laryngoscope suspension.

机构信息

Department of otolaryngology, People's Hospital of Xuancheng City, the Affiliated Xuancheng Hospital of Wannan Medical College, Xuancheng City, Anhui Province, China.

Department of Clinical Science, Intervention and Technology, Department of Otolaryngology Head and Neck Surgery & Audiology and Neurotology, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden.

出版信息

Acta Otolaryngol. 2022 May;142(5):443-447. doi: 10.1080/00016489.2022.2079717. Epub 2022 Jun 2.

Abstract

BACKGROUND

Epiglottic cysts are common diseases and have multiple morbidity, and traditional surgery causes intraoperative bleeding and postoperative recurrence.

OBJECTIVE

To investigate the therapeutic effect of CO laser resection on epiglottic cyst when compared with traditional surgery.

METHOD

Eighty patients with epiglottic cysts were randomly enrolled into the CO laser group (44 patients) and the high-frequency electrocautery group (36 patients).

RESULTS

The CO laser group had a shorter operation time, less blood loss and fewer intraoperative ruptured cysts ( < .05). The duration of sore throat and the time before wound redness and swelling subsidence in the CO laser group were significantly shorter than those in the high-frequency electrocautery group ( < .05). Within one year after the operation, the incidence of epiglottic scar contracture in the CO laser group was significantly lower than that in the high-frequency electrocautery group ( < .05).

CONCLUSION

The CO laser group has the advantages of minimally invasive, less bleeding, short operation time and less postoperative complications, and it is worthy of applying as clinical routine to treat epiglottic cysts.

摘要

背景

会厌囊肿是一种常见病,具有多种发病率,传统手术会导致术中出血和术后复发。

目的

探讨 CO2 激光切除治疗会厌囊肿与传统手术的疗效差异。

方法

将 80 例会厌囊肿患者随机分为 CO2 激光组(44 例)和高频电刀组(36 例)。

结果

CO2 激光组手术时间更短,术中出血量更少,术中囊肿破裂更少( < .05)。CO2 激光组术后咽痛持续时间及创面红肿消退时间均明显短于高频电刀组( < .05)。术后 1 年内,CO2 激光组会厌瘢痕挛缩发生率明显低于高频电刀组( < .05)。

结论

CO2 激光治疗会厌囊肿具有微创、出血少、手术时间短、术后并发症少等优点,值得临床常规应用。

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