【摘要】目的探讨低温等离子刀射频消融治疗早期声门型喉癌的临床疗效。方法选取 28例早期声门型喉癌患者,根据入院顺序编号随机分为射频组、对照组各14例。射频组行低温等离子刀射频消融术,对照组采用声门区癌喉部分切除术。比较两组术前、术后1个月时声带形态学评级情况及术后1个月内并发症发生率情况,分析其术后6个月、2年时生存率、肿瘤复发率。结果术后1个月时,两组声带形态学评级优良率均较术前有明显提升,且射频组优良率明显高于对照组,射频组患者术后并发症发生率明显低于对照组(P均<0.05);术后6个月时,两组患者肿瘤复发率及生存率比较,差异无统计学意义(P均>0.05);术后2年时,射频组患者肿瘤复发率均明显低于对照组(P<0.05),生存率比较无统计学意义(P>0.05)。结论运用低温等离子刀射频消融术治疗早期声门型喉癌可获得良好疗效及预后。
【Abstract】 ObjectiveTo explore the clinical efficacy of radiofrequency ablation using low temperature plasma knife for the treatment of early glottic carcinoma. MethodsTwentyeight patients with early glottic carcinoma were enrolled, and were randomly divided into radiofrequency group and control group, with 14 cases in each group. The radiofrequency group and control group underwent radiofrequency ablation using low temperature plasma knife and partial excision for glottic carcinoma,respectively. The preoperative and 1month postoperative grades of glottic morphology, and incidence of complication within 1 month after operation were compared between the two groups. The survival rates and tumor recurrence at 6month and 2year after operation were analyzed. ResultsAt 1 month after operation, the excellent rates of glottic morphology grading in both groups were improved compared the preoperative rates, and the rate of the radiofrequency group was significantly higher than the rate of the control group(P<0.05). The incident rate of postoperative complications in the radiofrequency group was significantly lower than the rate of the control group(P<0.05). At 6 months after operation, there were no significant differences in the tumor recurrence and survival rate between the two groups (all P>0.05). At 2 years after operation, the tumor recurrence of the radiofrequency group was significantly lower than the rate of the control group(P<0.05), but no significant difference in the survival rate was found between the two groups (P>0.05). ConclusionRadiofrequency ablation using low temperature plasma knife can achieve good efficacy and outcome for the treatment of early glottic carcinoma.