CO2激光治疗耳鼻咽喉部乳头状瘤

目的:探讨CO2激光治疗耳鼻咽喉部乳头状瘤的疗效。方法:166例乳头状瘤(鼻部45例,耳部39例,咽部82例)局部麻醉后以连续输出功率为15W的CO2激光切割及气化肿瘤。结果:治愈率达100％。结论:CO2激光治疗耳鼻咽喉部乳头状瘤的优点:(1)生物组织含70~90％的水分,激光气化肿瘤,对邻近组织基本不受影响,不妨碍伤口I期愈合;(2)激光切割和气化肿瘤后,可最大限度保存原有器官的功能,不造成组织缺损;(3)激光能封闭和凝固肿瘤组织周围的血管,术时出血少;(4)激光是无菌切口,很少引起伤口感染;(5)手术简单,痛苦少。

CO2 laser in Treatment of Otorhinolaryngologicai Papilloma

Object:To study the clinical effect of otorhinolaryngologicai papillomas treated by CO2 laser. Methods:Among 166 cases were 45 cases of nasal papilloma, 39 cases of aural papilloma, and 82 cases of pharyngal papilloma. After local anaesthesia, We cut and vaporize tumor with CO2 laser in 15W of continuous output power. Results: The healing rate is near 100%. Conclusion:The methods have some advantages as follows: (1) With 70 - 90% of water in biologic tissues, laser hardly affect contiguous tissue during vaporizing tumor, and rarely affect healing of wound ; (2) After vaporizing and cutting tumor with laser, it can maximum keep the function of original organs, and not form tissue defection; (3) The laser can block and coagulate the vessel surrounding tumor tissue, so less bleeding during operating; (4) The laser incision is sterile, rarely affect infection of wound; (5) The operation is simple, so less painful for patient.