CAJ | 학술논문

目的：分析低温等离子消融手术治疗早期声门型喉癌的近期疗效。方法选择73例早期声门型喉癌患者，其中34例行低温等离子消融手术，39例行喉部分切除术。结果34例行低温等离子术患者术后24个月出现复发1例，为T2期；39例行部分喉切除术患者复发5例，其中T1b和Tis期各1例，其余3例为T1a期，两组差异无显著性（ P＞0．05）。低温等离子消融术组未出现切口感染、咽瘘、吞咽和呼吸功能障碍等并发症，喉部分切除术的患者中，有4例切口感染，3例咽瘘及3例吞咽和呼吸功能障碍，低温等离子消融手术组与喉部分切除组相比，差异有显著性（ P＜0．05）。低温等离子消融组与喉部分切除术组相比，3年生存率无明显差异（ P＞0．05）。结论低温等离子消融术可显著减少早期声门型喉癌患者术后并发症的发生，减轻患者痛苦，提高患者生存质量，较传统喉部分切除术有优越性。
목적：분석저온등리자소융수술치료조기성문형후암적근기료효。방법선택73례조기성문형후암환자，기중34례행저온등리자소융수술，39례행후부분절제술。결과34례행저온등리자술환자술후24개월출현복발1례，위T2기；39례행부분후절제술환자복발5례，기중T1b화Tis기각1례，기여3례위T1a기，량조차이무현저성（ P＞0．05）。저온등리자소융술조미출현절구감염、인루、탄인화호흡공능장애등병발증，후부분절제술적환자중，유4례절구감염，3례인루급3례탄인화호흡공능장애，저온등리자소융수술조여후부분절제조상비，차이유현저성（ P＜0．05）。저온등리자소융조여후부분절제술조상비，3년생존솔무명현차이（ P＞0．05）。결론저온등리자소융술가현저감소조기성문형후암환자술후병발증적발생，감경환자통고，제고환자생존질량，교전통후부분절제술유우월성。
Objective To analyze the short-term curative effect of radiofrequency ablation in the treatment of early glot-tic cancer .Methods 73 patients with early glottic cancer were collected .39 cases received conventional split throat surgery , which was designated as the control group;34 cases accepted radiofrequency ablation .Results Recurrence within 24 months was observed,34 cases of radiofrequency ablation patients had 1 cases(T2) of recurrence;39 cases of split throat surgery patients had 3 cases of stage T1a recurrence,1 stage T1b case and 1 stage Tis case(P>0.05).No incision infection,pharyngeal fistula,degluti-tion and respiratory dysfunction were observed in radiofrequency ablation groups ,while 4 cases of incision infection,3 cases of pharyngeal fistula ,3 cases of deglutition and respiratory dysfunction were observed in conventional split throat surgery group , which showed a significant difference (P<0.05).There had no significant difference in 3-year survival rate between the 2 groups (P>0.05).Conclusion Radiofrequency ablation for early glottic cancer patients can significantly reduce the occurrence of complications ,alleviate pain and improve the quality of life of patients ,it shows superiority compared with conventional split throat surgery.