喉部分切除术与氩气刀治疗早期喉癌的并发症比较研究

发布时间：2018-01-17 21:19

本文关键词：喉部分切除术与氩气刀治疗早期喉癌的并发症比较研究　出处：《甘肃科技纵横》2017年08期 　论文类型：期刊论文

【摘要】：目的:对喉部分切除术与氩气刀治疗早期喉癌的并发症进行对比和研究。方法:选取2016年5月~2016年12月到兰州市第二人民医院进行治疗的早期喉癌患者46例,将患者随机分为观察组和对照组。给予观察组患者氩气刀切除肿瘤手术,配合使用喉内窥镜作为支撑。给予对照组患者喉垂直部分切除手术。对患者进行3~5年的术后随访,对患者进行定期检查,比较并研究其并发症发生情况。结果:对比2组患者术后的并发症发生情况,结果显示,观察组患者中,出现并发症患者6例(26.09%);对照组患者中,出现并发症患者15例(65.22%),其差异具有统计学意义(p0.01)。观察组患者治疗后4个月出现2例复发患者,复发率为8.7%,对照组患者治疗后2个月出现6例复发患者,复发率为26.1%,存在显著性差异和统计学意义(p0.05)。结论:相比于喉垂直部分切除术来说,氩气刀在治疗早起喉癌中具有显著的临床效果,减少患者并发症的发生率,延长患者的复发时间,降低复发率,促进患者身体的恢复,值得在临床治疗中使用。
[Abstract]:Objective: to compare and study the complications of partial laryngectomy and argon knife in the treatment of early laryngeal carcinoma. From May 2016 to December 2016, 46 patients with early laryngeal cancer were treated in the second people's Hospital of Lanzhou City. Patients were randomly divided into observation group and control group. Combined with the use of laryngoscope as support. The control group was given vertical partial laryngectomy. The patients were followed up for 3 to 5 years, and the patients were examined regularly. Results: the complications of the two groups were compared. The results showed that there were 6 cases of complications in the observation group. In the control group, there were 15 patients with complications, the difference was statistically significant (P 0.01). 2 patients in the observation group had recurrence 4 months after treatment. The recurrence rate was 8.7 and the recurrence rate was 26.1% in the control group. Conclusion: compared with vertical partial laryngectomy, argon knife has a significant clinical effect in the treatment of early laryngeal carcinoma. It is worthy of clinical treatment to reduce the incidence of complications, prolong the recurrence time, reduce the recurrence rate and promote the recovery of patients.
【作者单位】：兰州市第二人民医院;
【分类号】：R739.65
【正文快照】： 喉癌是一种临床上常见的咽喉恶性肿瘤之一,发病率较高。其中鳞状细胞癌在喉癌中占比较大,达到93%~99%[1]。近年来,我国喉癌的发病率呈现出上升的趋势,严重威胁人们的健康。目前,在喉癌的临床治疗上,主要采用是手术、化疗、放疗以及激光等手段结合治疗法,其中手术治疗对喉癌患

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