2激光喉显微手术治疗早期喉癌的近期疗效及远期效果分析> CO2激光喉显微手术治疗早期喉癌的近(1)
摘要:目的 探讨CO2激光喉显微手术治疗早期喉癌的近远期疗效。方法 选取2011年7月~2013年11月在我院接受治疗的150例早期喉癌患者作为研究对象,将其采用随机数字法分为观察组和对照组各75例,其中对照组患者给予传统手术方式进行治疗,观察组患者给予CO2激光喉显微手术进行治疗。观察两组患者手术后的住院费用、住院时间以及并发症发生率,并对两组患者复发率进行分析。结果 观察组患者的复发率和并发症发生率分别为8%、25.33%,对照组患者的复发率和并发症发生率分别为5.33%、49.33%,观察组复发率及并发症发生率均明显低于对照组(P<0.05),观察组患者的医疗费用以及住院时间也明显低于对照组(P<0.05)。结论 CO2激光喉显微手术治疗早期喉癌的近期疗效及远期疗效显著,且病情复发率及并发症发生率低,值得临床推广使用。
关键词:CO2激光;喉癌;疗效;显微手术
Abstract:Objective To investigate the curative effect of CO2 laser laryngeal microsurgery treatment of early laryngeal carcinoma. Methods 150 cases of early laryngeal cancer patients in July 2011 ~2013 year in November in our hospital as the research object,which were randomly divided into observation group and control group with 75 cases in each group,the control group were treated with traditional surgical treatment.The observation group was treated with CO2 laser laryngeal microsurgery treatment.Observe the hospitalization expenses of two groups of patients after operation, hospitalization time and the incidence of complications, and the recurrence rate of two groups of patients were analyzed.Results The observation group of patients with recurrence rate and complication incidence were 8%,25.33,and the recurrence rate of the control group of patients with complications the incidence rates were 5.33%,49.33%,the observation group recurrence rate and complication rate were significantly lower than the control group(P < 0.05),the observation group of patients with medical expenses and hospitalization time significantly lower than that of the control group(P < 0.05). Conclusion The short-term and long-term curative effect of CO2 laser laryngeal microsurgery for the treatment of early laryngeal cancer was significant, and the recurrence rate and complication rate were low,so it is worthy of clinical application.
, http://www.100md.com
Key words:CO2 laser;Laryngeal cancer;Curative effect;Microsurgery
喉癌作為外科恶性肿瘤的常见疾病,发病率较高,仅次于鼻咽癌,主要症状为呼吸困难,吞咽困难、声嘶等,喉癌在早期的主要治疗方式为放疗、手术以及激光疗法等。早期的诊疗对喉癌危害的减轻具有十分重要的作用,它不仅可以提高患者在手术之后的存活率,也能够提高保留喉的发音功能的可能性,减少手术的并发症[1]。因此,对早期喉癌患者实施切实可行的治疗方式,为患者的病情好转奠定良好的基础尤为重要。本研究以150例早期喉癌患者作为研究对象,以观察CO2激光喉显微手术治疗早期喉癌的近远期疗效。
1 资料与方法
1.1一般资料 将2011年7月~2013年11月我院收治的150例早期喉癌患者作为研究对象,将其采用随机数字表法分为观察组和对照组,各75例,其中观察组男性59例,女性16例,年龄34~79岁,平均年龄(56.76±10.03)岁,其中声带原位癌31,声门型喉癌24,混合型喉癌20例;对照组男性61例,女性14例,年龄36~80岁,平均年龄(57.10±9.12)岁,其中声带原位癌32,声门型喉癌25,混合型喉癌18例;。两组患者在性别、年龄等临床基本资料上差异无统计学意义(P>0.05),具有可比性。
1.2纳入标准及排除标准 纳入标准:①所有患者均为第一次发病,之前并未接受手术治疗;②均为恶性肿瘤,没有其它器官转移发生;③患者能够承受激光手术的适应症;④对此次研究完全知情,并且自愿签署协议书,愿意配合进行治疗。排除标准:①不符合纳入标准者;②患有喉部其它严重病症者;③术前未进行检查确定病变范围以及浸润情况者[2];④患者心肺等重大疾病者;⑤不配合治疗者。, http://www.100md.com(高岩 雷宏伟)
关键词:CO2激光;喉癌;疗效;显微手术
Abstract:Objective To investigate the curative effect of CO2 laser laryngeal microsurgery treatment of early laryngeal carcinoma. Methods 150 cases of early laryngeal cancer patients in July 2011 ~2013 year in November in our hospital as the research object,which were randomly divided into observation group and control group with 75 cases in each group,the control group were treated with traditional surgical treatment.The observation group was treated with CO2 laser laryngeal microsurgery treatment.Observe the hospitalization expenses of two groups of patients after operation, hospitalization time and the incidence of complications, and the recurrence rate of two groups of patients were analyzed.Results The observation group of patients with recurrence rate and complication incidence were 8%,25.33,and the recurrence rate of the control group of patients with complications the incidence rates were 5.33%,49.33%,the observation group recurrence rate and complication rate were significantly lower than the control group(P < 0.05),the observation group of patients with medical expenses and hospitalization time significantly lower than that of the control group(P < 0.05). Conclusion The short-term and long-term curative effect of CO2 laser laryngeal microsurgery for the treatment of early laryngeal cancer was significant, and the recurrence rate and complication rate were low,so it is worthy of clinical application.
, http://www.100md.com
Key words:CO2 laser;Laryngeal cancer;Curative effect;Microsurgery
喉癌作為外科恶性肿瘤的常见疾病,发病率较高,仅次于鼻咽癌,主要症状为呼吸困难,吞咽困难、声嘶等,喉癌在早期的主要治疗方式为放疗、手术以及激光疗法等。早期的诊疗对喉癌危害的减轻具有十分重要的作用,它不仅可以提高患者在手术之后的存活率,也能够提高保留喉的发音功能的可能性,减少手术的并发症[1]。因此,对早期喉癌患者实施切实可行的治疗方式,为患者的病情好转奠定良好的基础尤为重要。本研究以150例早期喉癌患者作为研究对象,以观察CO2激光喉显微手术治疗早期喉癌的近远期疗效。
1 资料与方法
1.1一般资料 将2011年7月~2013年11月我院收治的150例早期喉癌患者作为研究对象,将其采用随机数字表法分为观察组和对照组,各75例,其中观察组男性59例,女性16例,年龄34~79岁,平均年龄(56.76±10.03)岁,其中声带原位癌31,声门型喉癌24,混合型喉癌20例;对照组男性61例,女性14例,年龄36~80岁,平均年龄(57.10±9.12)岁,其中声带原位癌32,声门型喉癌25,混合型喉癌18例;。两组患者在性别、年龄等临床基本资料上差异无统计学意义(P>0.05),具有可比性。
1.2纳入标准及排除标准 纳入标准:①所有患者均为第一次发病,之前并未接受手术治疗;②均为恶性肿瘤,没有其它器官转移发生;③患者能够承受激光手术的适应症;④对此次研究完全知情,并且自愿签署协议书,愿意配合进行治疗。排除标准:①不符合纳入标准者;②患有喉部其它严重病症者;③术前未进行检查确定病变范围以及浸润情况者[2];④患者心肺等重大疾病者;⑤不配合治疗者。, http://www.100md.com(高岩 雷宏伟)
参见:首页 > 医疗版 > 疾病专题 > 耳鼻喉科 > 耳鼻咽喉异物及肿瘤 > 耳鼻咽喉肿瘤 > 喉癌