喉 papilomatosis:一个非传统的灵活内镜方法
1Department of Thoracic Surgery, "Timofei Moșneaga" Republican Clinical Hospital, Chișinău, Republic of Moldova.
Journal of voice : official journal of the Voice Foundation
|September 8, 2023
概括
灵活的内镜喉手术 (FELS) 有效地治疗喉 papilomatosis (LP). 这种方法主要使用Nd:YAG激光,提供了一个安全的替代方案,降低了成本和风险,尽管复发需要重复程序.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内視鏡外科手術 內視鏡外科手術
- 激光医学是激光医学.
背景情况:
- 喉 papilomatosis (LP) 提出了重要的治疗挑战.
- 传统的手术方法可能涉及与全身麻醉和重复干预相关的风险.
研究的目的:
- 评估灵活的内镜喉手术 (FELS) 的疗效,使用非传统的工具治疗喉 papilomatosis (LP).
主要方法:
- 在47名患有LP的患者身上,FELS使用子,腹肌陷和Nd:YAG激光进行了.
- 手术主要是在局部麻醉和自发呼吸 (81%) 或全身麻醉和高频喷气通风下进行的.
- 很大一部分 (46.8%) 的干预是作为门诊手术进行的.
主要成果:
- 在所有患者中,可见病变的完全根除在没有并发症的情况下实现.
- 疾病复发发生在16例 (34%),需要重复手术.
结论:
- FELS,特别是Nd:YAG激光,是一种安全有效的LP治疗方法,可以替代传统方法.
- 这种技术避免了重复全身麻醉的风险,适合有禁忌的患者,使门诊设置,降低成本,节省时间.
- 结合腹肌陷切除与 Nd:YAG 激光切除,可以最大限度地减少干预时间和热损伤,对庞大的病变有效.
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