低温等离子射频消融联合生理盐水治疗咽喉部血管瘤的效果OACSTPCD
Effect of low-temperature plasma radiofrequency ablation combined with normal saline in treatment of throat hemangioma
目的 探讨生理盐水局部注射联合低温等离子刀射频消融治疗咽喉部血管瘤的临床疗效.方法 回顾性分析解放军总医院第三医学中心和清华大学附属垂杨柳医院 2009-01 至 2023-09 应用生理盐水局部注射后低温等离子刀射频消融治疗 40 例咽喉部血管瘤患者的临床诊疗资料.结果 40 例均一次性消融掉咽喉部血管瘤,术中均无明显出血.术后随访6~12 个月,均未见肿瘤复发,未出现环杓关节运动障碍、呼吸困难、吞咽困难等并发症,患者术前咽部异物感、吞咽不适、痰中血丝、声嘶等症状术后均逐渐消失.结论 低温等离子手术治疗咽喉部血管瘤可发挥技术优势,联合局部注射生理盐水可减少出血风险、缩短手术时间、减少热辐射对关键部位损伤风险,具有操作简单、经济实惠等特点,能够在保全咽喉功能的基础上得到局部肿瘤较好的控制效果.
Objective To investigate the clinical efficacy of local injection of normal saline combined with low-temperature plasma knife radiofrequency ablation in the treatment of throat hemangioma.Methods The clinical data of 40 patients with throat he-mangioma treated by radiofrequency ablation with low temperature plasma knife after local injection of normal saline in the Third Medi-cal Center of PLA General Hospital and Chuiyangliu Hospital Affiliated to Tsinghua University from January 2009 to September 2023 were retrospectively analyzed.Results The laryngeal hemangioma was ablated in all 40 cases,and there was no obvious intraoperative bleeding during operation.The postoperative follow-up for 6 to 12 months showed no recurrence or complications such as cycloarytenoid joint movement disorder,dyspnea,dysphagia,etc.The symptoms of foreign body sensation in the pharynx,dysphagia,bloodline in sputum,and hoarseness existed before surgery gradually disappeared.Conclusions Low-temperature plasma surgery can give full play to the technical advantages in the treatment of throat hemangioma,and the ablation combined with local injection of normal saline can reduce the risk of bleeding and shorten the operation time,which has the characteristics of simple operation and economic benefits,and can achieve better control of local tumors while preserving laryngopharyngeal function.
杨立强;赵龙珠;梁九思;杨立军
300162 天津,武警特色医学中心耳鼻咽喉科100089 北京,解放军总医院耳鼻喉头颈外科医学部耳鼻咽喉头颈外科100089 北京,解放军总医院耳鼻喉头颈外科医学部耳鼻咽喉头颈外科100020 北京,清华大学附属垂杨柳医院耳鼻咽喉科
临床医学
低温等离子刀射频消融生理盐水咽喉部血管瘤
low-temperature plasma knife radiofrequency ablationnormal salinethroat hemangioma
《武警医学》 2024 (12)
1036-1038,1045,4
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