CAJ | 학술논문

目的：探讨在支撑喉镜下通过CO2激光微创手术治疗早期喉癌的临床疗效以及安全性能。方法回顾分析40例曾接受CO2激光微创手术治疗喉癌的临床病例资料，分析术后疗效和复发情况等。结果患者总的喉功能保留率为92．50％（37／40）。术后随访约5年，40例患者中有36例患者还存活，1例因无法联系而失访，3例患者已死亡。36例存活患者中6例患者有不同程度的局部复发，复发率为15．00％（6／40），而这其中前联合受累的患者的复发率为16．67％（2／12）。复发患者均经过不同方式的再次治疗。结论支撑喉镜下CO2激光微创手术对早期喉癌的临床疗效显著，值得临床推广应用。
목적：탐토재지탱후경하통과CO2격광미창수술치료조기후암적림상료효이급안전성능。방법회고분석40례증접수CO2격광미창수술치료후암적림상병례자료，분석술후료효화복발정황등。결과환자총적후공능보류솔위92．50％（37／40）。술후수방약5년，40례환자중유36례환자환존활，1례인무법련계이실방，3례환자이사망。36례존활환자중6례환자유불동정도적국부복발，복발솔위15．00％（6／40），이저기중전연합수루적환자적복발솔위16．67％（2／12）。복발환자균경과불동방식적재차치료。결론지탱후경하CO2격광미창수술대조기후암적림상료효현저，치득림상추엄응용。
Objective To discuss the clinical efficacy and safety of CO 2 laser minimally invasive surgery under laryngo-scope for early laryngeal cancer .Methods Clinical data of 40 cases of laryngeal cancer treated with CO 2 laser minimally invasive surgery under laryngoscope was retrospectively analyzed ,the efficacy and recurrence after surgery was analyzed .Results Total retention rate of laryngeal function was 92.50%(37/40).Patients were followed up for about 5 years.Among 40 patients,36 pa-tients were still alive,1 case due to inability to contact was lost,3 patients had died.Among 36 cases of patients,6 patients had different degrees of local recurrence (15.00%,6/40),among which the recurrence rate of former joint involvement recurrence was 16.67%(2/12).Patients had to undergo re-treatment in different ways.Conclusion Clinical efficacy of CO2 laser minimally invasive surgery under laryngoscope for early laryngeal cancer is remarkable ,it is worthy of clinical application .