Goldman N C
Acta Otolaryngol Suppl. 1997;527:70-3. doi: 10.3109/00016489709124039.
The care of outpatients with epithelial hyperplastic lesions of the larynx presents problems of classification, treatment, continued surveillance and prognosis. One hundred patients who underwent microlaryngoscopy and vocal cord stripping from 1990 through 1995 were studied retrospectively with a follow-up period of 8-156 months. Twenty-eight patients with biopsy proven epithelial hyperplastic lesions were given 21 different pathological diagnoses exclusive of invasive carcinoma following 52 operative microlaryngoscopies. Prognosis was inferred and treatment commenced primarily on the basis of the pathology report. Microlaryngoscopy and stripping with and without the carbon dioxide laser, "watchful waiting," radiation therapy, and partial laryngectomy were all used as treatment modalities. Controversy remains as of choice of treatment. Encouraging the patient to discontinue smoking is an integral part of treatment; however, most patients continue to smoke. Recent changes in the United States health care delivery system present additional problems in surveillance of the patient.
喉上皮增生性病变门诊患者的护理存在分类、治疗、持续监测及预后等问题。对1990年至1995年期间接受显微喉镜检查及声带剥脱术的100例患者进行回顾性研究，随访时间为8至156个月。28例经活检证实为上皮增生性病变的患者在52次显微喉镜手术之后获得了21种不同的病理诊断，不包括浸润性癌。主要根据病理报告推断预后并开始治疗。使用了有或没有二氧化碳激光的显微喉镜检查及剥脱术、“密切观察等待”、放射治疗和部分喉切除术等所有治疗方式。治疗选择方面仍存在争议。鼓励患者戒烟是治疗的一个组成部分；然而，大多数患者仍继续吸烟。美国医疗保健提供系统最近的变化给患者的监测带来了更多问题。
