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显微镜下低温等离子治疗会厌囊肿120例疗效观察

代效亮1,2,黄永望1   

  1. 1. 天津医科大学第二医院
    2. 新泰市人民医院
  • 收稿日期:2012-05-22 修回日期:2012-09-19 出版日期:2013-02-15 发布日期:2013-02-15
  • 通讯作者: 代效亮

Low-temperature plasma treatment for epiglottis cyst under microscope (120 cases report)

  • Received:2012-05-22 Revised:2012-09-19 Published:2013-02-15 Online:2013-02-15

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摘要：

【摘要】目的 探讨显微镜下应用低温等离子治疗会厌囊肿的疗效及安全性。方法 全组120例患者均经口气管插管全麻下支撑喉镜，并在悬吊手术显微镜系统监视下，应用低温等离子治疗会厌囊肿，术中病变组织送病理，术后抗炎止疼止血及其他对症支持治疗，定期复查喉镜，观察此手术疗效及安全性。结果 120例（100%）患者均一次性治愈，术后咽堵或咽异物感症状消失，病理检查均证实为会厌囊肿。本组患者平均手术时间（16.5±1.6）min，平均术后第1天疼痛评分（3.6±0.5）分，平均术中出血量（2.7±0.3）mL，仅1例于术后第4天出现轻微渗血，平均术后创面白膜消退时间（4.9±0.9）d，术后随访6～12个月，无一例复发。结论 显微镜下低温等离子治疗会厌囊肿手术时间短、疼痛小、术中出血少，疗效满意，安全性高。

关键词: 支撑喉镜, 手术显微镜, 低温等离子, 会厌囊肿

Abstract: Abstract Objective  To explore the application under the microscope low-temperature plasma treatment epiglottis cyst of therapeutic effect, safety and application experience. Methods： Retrospective analysis I branch since June, 2008 to June, 2011 application low-temperature plasma treatment epiglottis cyst in 120 cases, the general endotracheal intubation, under the laryngoscope support, monitoring system in operation microscopes under low temperature plasma treatment epiglottis cyst application, observe the operation safety and efficacy. Results：All the group of 120 patients, average operation time （16.5±1.6）min, the first day of the mean pain score （3.6±0.5）, average peri-operative bleeding （2.7±0.3）ml, only one case in the fourth day after mild ooze blood, average postoperative wound white film subsidise time （4.9±0.9）d, patients were followed up 6 ~ 12 months, no one was recurrence. Conclusion：Under the microscope low-temperature plasma treatment epiglottis cyst operation time is short, pain, small, perioperative, less bleeding, and the results were satisfactory, high safety, is a kind of very good operation.

Key words: Support laryngoscope, Surgical microscope, Low temperature plasma, Epiglottis cyst