CAJ | 학술논문

目的：探讨内镜支撑喉镜下低温等离子会厌囊肿切除术的疗效。方法：回顾性分析52例患者会厌囊肿临床资料，通过随机方式通过随机方式分为两组，对照组（A组）：32例，采用传统支撑喉镜下电刀切除；等离子组（B组）：20例，采用内镜支撑喉镜下低温等离子射频消融术。比较两组患者的有关病症指标及术后并发症。比较两组患者的有关指标病症情况，及术后的并发症。结果：所有病患囊肿均彻底切除。均无呼吸困难等并发症。治疗2周后，B组与A组比较显示，在手术时间、伤口愈合时间、术中出血量和术后并发症方面，B组明显优于A组，P＜0.05。B组术后有不同程度的咽痛及咽部异物感症状，随后症状逐渐减轻，无术后出血，未出现舌体麻木，3例患者术后1周检查会厌轻度肿胀、伪膜未脱落，给予抗炎、雾化吸入治疗，术后2周所有患者无咽痛，会厌无红肿，伪膜脱落。A组患者咽痛及咽部异物感症状较重，4例出现舌体麻木，给予肌注腺苷钴胺，3天后症状缓解，8例患者术后1周检查会厌轻度肿胀、伪膜未脱落，继续给予抗炎、雾化吸入治疗，术后2周仍有3例患者有咽部异物感，会厌无红肿，表面伪膜未脱落。结论：低温等离子射频消融术是治疗会厌囊肿的一种安全有效的治疗方法。
목적：탐토내경지탱후경하저온등리자회염낭종절제술적료효。방법：회고성분석52례환자회염낭종림상자료，통과수궤방식통과수궤방식분위량조，대조조（A조）：32례，채용전통지탱후경하전도절제；등리자조（B조）：20례，채용내경지탱후경하저온등리자사빈소융술。비교량조환자적유관병증지표급술후병발증。비교량조환자적유관지표병증정황，급술후적병발증。결과：소유병환낭종균철저절제。균무호흡곤난등병발증。치료2주후，B조여A조비교현시，재수술시간、상구유합시간、술중출혈량화술후병발증방면，B조명현우우A조，P＜0.05。B조술후유불동정도적인통급인부이물감증상，수후증상축점감경，무술후출혈，미출현설체마목，3례환자술후1주검사회염경도종창、위막미탈락，급여항염、무화흡입치료，술후2주소유환자무인통，회염무홍종，위막탈락。A조환자인통급인부이물감증상교중，4례출현설체마목，급여기주선감고알，3천후증상완해，8례환자술후1주검사회염경도종창、위막미탈락，계속급여항염、무화흡입치료，술후2주잉유3례환자유인부이물감，회염무홍종，표면위막미탈락。결론：저온등리자사빈소융술시치료회염낭종적일충안전유효적치료방법。
Objective: To investigate the efficacy of endoscopic direct laryngoscope under low temperature plasma epiglottic cyst excision.Methods:A retrospective analysis of the clinical data of 52 patients with epiglottic cyst, through the random way by randomly divided into two groups, the control group (A group): 32 cases, using traditional laryngoscopy electric knife excision; plasma group (B group): 20 cases, using endoscopic laryngoscope under low temperature plasma radiofrequency ablation. The comparison about the condition indexes and operation in two groups of patients with complications. Compared two groups of patients with symptoms related indexes, and postoperative complications.Results:All the patients were completely excised cyst. There were no complications such as respiratory dififculties. 2 weeks after the treatment, B group and A group comparison showed that in the operation time, amount of bleeding and wound healing time, postoperative complications in the operation, group B was better than that in A group,P<0.05. Group B patients have different degree of foreign body sore throat and pharyngeal symptoms, then gradually reduce the symptoms,no postoperative hemorrhage, did not appear tongue numb, 3 cases of patients with postoperative 1 week check epiglottis swelling, pseudo membrane did not fall off, giving the anti-inlfammatory and atomization inhalation treatment, 2 weeks after the operation, all patients had no angina. The epiglottis without red, pseudomembranous off. Group A patients with sore throat and pharyngeal foreign body sensation symptom was heavier, tongue numbness occurred in 4 cases, received intramuscular injection of cobamamide, alleviate symptoms 3 days later, 8 cases of patients with postoperative 1 week check epiglottis swelling, pseudo membrane did not fall off, to continue to give anti-inlfammatory, atomization inhalation treatment, after 2 weeks in 3 patients a pharyngeal foreign body sensation, epiglottis without red, without shedding pseudo membrane surface.Conclusion:Low temperature plasma radiofrequency ablation is a safe and effective method for treatment of epiglottic cysts.