CAJ | 학술논문

目的探讨声带突肉芽肿的半导体激光治疗的方法.方法声带突肉芽肿患者14例.半导体激光波长810nm,光纤直径0.6nm,输出功率0.5～30W,照射时间2～5 s,在支撑喉镜下对声带突肉芽肿以接触和非接触方式交替照射进行凝固、气化切除.结果 14例患者随访2～4年,一次性治疗后痊愈11例,二次治疗后痊愈2例.一次治愈率78.5%,总治愈率100%.声带功能恢复,无明显并发症.随访2～4年无复发.结论支撑喉镜下半导体激光切除声带突肉芽肿,疗效显著、复发少,是传统喉镜手术后复发的有效补充治疗.
목적 탐토성대돌육아종적반도체격광치료적방법.방법 성대돌육아종환자14례.반도체격광파장810nm,광섬직경0.6nm,수출공솔0.5～30W,조사시간2～5 s,재지탱후경하대성대돌육아종이접촉화비접촉방식교체조사진행응고、기화절제.결과 14례환자수방2～4년,일차성치료후전유11례,이차치료후전유2례.일차치유솔78.5%,총치유솔100%.성대공능회복,무명현병발증.수방2～4년무복발.결론 지탱후경하반도체격광절제성대돌육아종,료효현저、복발소,시전통후경수술후복발적유효보충치료.
Objective To investigate the treatment of vocal process granuloma with semiconductor laser, and to analyze the reasons for recurrence of vocal process granuloma after operations.Methods Fourteen cases of patients with vocal process granuloma. Semiconductor laser wavelength was 810 nm, and the fiber diameter was 0. 6 mm. The output power of the laser was 0. 5-30 W, which was continuously adjustable. Combined with the self-retaining laryngoscope under a microscope, the granuloma was coagulated and vaporized by laser under contact and non-contact mode. Results Fourteen patients were followed up for 2-4 years, 11 cases of them were cured after one-time treatment, two cases recovered after the second treatment. Cure rate of 78. 6% after one time treatment. Vocal cord function resumed with no significant complications. Then the criterion of efficacy determination was developed.Conclusions Using semiconductor laser with self-retaining laryngoscope to remove vocal process granuloma is a more advanced clinical means, which is significantly effective and reduces recurrence. And it is also a good supplemental treatment for post-operative recurrence of vocal process granuloma by traditional laryngoscope surgery. So this method is worth promoting in appropriate hospitals.