【摘要】 目的 :探讨磷酸钛钾 (KTP)激光声带切除术治疗早期声门癌的效果。方法 :对 30例行激光声带切除术者 (激光组 )和 18例行喉裂开声带切除者 (喉裂开组 )术后的喉内结构变化、音质、生存质量等进行对比分析。结果 :激光组半年后在原声带处长出一新声带 ,音质明显提高接近正常 ,生存质量较高。喉裂开组无新声带形成 ,音质半年内较好而后持续较差 ;生存质量在拔管前较低 ,拔管后同激光组。术后观察 2～ 4年 ,激光组 2例复发 ,喉裂开组 1例复发 ,两组均无淋巴转移 ,无一例死于喉癌。结论 :KTP激光治疗早期声门癌在确保根治的基础上 ,术后喉功能结构恢复良好 ,损伤小 ,患者生存质量高 ,实现了喉癌的微创治疗 ,明显优于喉裂开声带切除术。更多还原

【Abstract】 Objective:To explore the advantage of KTP laser cordectomy in the treatment of early glottic carcinoma. Method:Follow up observation on 30 patients who had KTP laser cordectomy and 18 patients who had laryneal split cordectomy was applied, then their postoperative laryneal structure’s change, the quality of voice and the quality of life (QOL) were compared and analyzed.Result: The patient group treated by KTP laser grew out a piece of new cord just at the place where it was excised after half a year, and the quality of voice was obviously improved near to norm, and they had higher QOL. On the contrary,the other group had no newly grown cord, their quality of voice was better in the first half year but was worse last out. Their QOL was lower than the laser group before decannulation and the same as the laser group after the decannulation. There are 2 cases recurrented in the laser group and 1 case recurrented in the laryneal split group,the two groups all had no metastasis and death in laryneal carcinoma by 2～4 years follow up postoperation.Conclusion:On the basis of effecting radical cure ,the early glottic carcinoma treated with non contact KTP laser with suspension laryngoscope can result in good recuperating in laryngeal structure,less injury and high QOL. So it makes micro injury treatment in laryngeal carcinoma come true and better than the laryngeal split cordectomy.更多还原