Nd:YAG激光治疗耳鼻咽喉囊肿123例疗效观察

发布时间：2019-04-24 17:30

【摘要】：目的:探讨Nd:YAG激光治疗耳鼻咽喉囊肿的疗效。方法:表面麻醉或局部浸润麻醉下,Nd:YAG激光治疗会厌囊肿51例,鼻咽咽囊囊肿15例,扁桃体囊肿46例,耳廓假性囊肿6例,鼻前庭囊肿5例。结果:术后1个月至年复诊。所有复诊的耳廓假性囊肿(6例)和扁桃体囊肿(41例)病人均一次性治愈,无复发。鼻咽咽囊囊肿1例、扁桃体囊肿5例、会厌囊肿6例治疗后失访。1例鼻咽咽囊囊肿病人术后仍有少许后鼻滴涕症状,一个月后行二次YAG激光治疗,治愈。两例巨大会厌囊肿病人术后一个月复查时发现原发囊肿部位仍有小囊肿存在,行二次YAG激光治疗,治愈。1例鼻前庭囊肿1月后复发,改行唇龈沟切口切除,术中见粘连较重。结论:Nd:YAG激光治疗会厌囊肿、鼻咽咽囊囊肿、扁桃体囊肿是一种较为理想的方法,值得推广使用。而耳廓假性囊肿与鼻前庭囊肿,Nd:YAG激光治疗局部反应较重,打孔处有瘢痕,未推广使用。
[Abstract]:Objective: to evaluate the efficacy of Nd:YAG laser in the treatment of otorhinolaryngological cysts. Methods: under surface anesthesia or local infiltration anesthesia, 51 cases of epiglottic cyst, 15 cases of nasopharyngeal cyst, 46 cases of tonsillar cyst, 6 cases of auricular pseudocyst and 5 cases of nasal vestibular cyst were treated with Nd:YAG laser. Results: from 1 month to 1 year after operation, the patients were re-diagnosed. All the re-diagnosed pseudocyst of auricle (6 cases) and tonsillar cyst (41 cases) were cured without recurrence. One case of nasopharynx cyst, 5 cases of tonsillar cyst and 6 cases of epiglottic cyst had lost follow-up after treatment. One case of nasopharynx cyst still had a few symptoms of posterior nasal DDT after operation and was cured by YAG laser one month later. Two patients with giant epiglottic cyst were reexamined one month after operation and found that there were still small cysts at the site of the primary cyst, which were cured by secondary YAG laser treatment. One case of nasal vestibular cyst recurred one month later, then resected with incision of labial gingival sulcus, and adhesion was more severe during the operation. Conclusion: Nd:YAG laser is an ideal method for the treatment of epiglottic cyst, nasopharyngeal cyst and tonsillar cyst. For pseudocyst of auricle and nasal vestibular cyst, the local reaction of Nd:YAG laser treatment was more serious, scar was found in perforated area, and it was not widely used.
【作者单位】：吉林大学第二医院耳鼻喉科;
【分类号】：R76;R454.2

【参考文献】