目的：探讨等离子射频消融术治疗下咽及喉部病变的临床应用价值，提高临床疗效。方法回顾性分析2006年4月至2013年4月我科收治的178例下咽病变及46喉部病变患者应用低温等离子射频消融手术的手术方式、手术疗效及术后并发症，探讨低温等离子技术在下咽及喉部病变中的临床应用价值。结果所有手术一次性切除病变完全，术后拔管顺利，无喉梗阻发生，术后恢复良好。下咽组临床治愈169例（94.9%），显效9例(5.1%)，总有效率100%，平均住院时间6.8天，所有病例随访1年以上无复发；喉组临床治愈40例（87%），有效4例（8.7%），复发2例（4.3%），2例复发为喉乳头状瘤患者，二次手术后随访1年无复发。平均住院时间7.2天。总有效率95.6%。结论低温等离子射频消融手术创伤小，手术安全性较高、疗效好，住院时间短，是治疗下咽及喉部病变的良好选择。%Objective To explore the clinical valuee of coblation in the treatment of hypopharynx and larynx disease. Methods 178 cases suffered hypopharynx lesion and 46 suffered larynx disease underwent surgical treatment by coblation from April 2006 to April 2013. The operation method, operation effectiveness and postoperation complication were analyzed retrospectively. Results All patients had the total pathological tissue removed without postoperation laryngeal obstruction. Among hypopharynx disease patients, 169 cases were cured and 9 cases had significant therapeutic effect, with a total effective rate of 100%. The mean hospital stay was 6.8 days. In larynx disease patients, 40 were cured and 9 cases had significant therapeutic effect, with a total effective rate of 96.6%. The mean hospital stay was 7.2 days. 2 cased suffered laryngeal papilloma recurrented had second coblation operation and cured in one-year followup. Conclusion Coblation is a safe , effective and minimally invasive way . This operation technical not only shorten the time in hospital but also reduce the cost. It is a valuable selcetive in the treatment of hypopharynx and larynx precancerous lesions.
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