鼻内镜下CO2激光辅助治疗上颌窦囊肿

目的总结鼻内镜下应用CO2激光辅助治疗上颌窦囊肿的疗效。方法对鼻内镜下CO2激光辅助治疗上颌窦囊肿31病例随访2年以上的病例进行回顾性分析。其中男20例,女11例。年龄25~70岁,平均42岁。鼻内镜下经上颌窦窦口应用sharplan30CCO2激光系统凝固、气化切除上颌窦囊肿囊壁,术后中鼻道填藻酸钙。结果31例手术效果良好,术后窦腔不填塞,无并发症,随访2~4年无复发。结论鼻内镜下CO2激光辅助治疗上颌窦囊肿视野清晰,出血少,复发率低,是一种安全、微创、有效的术式。     

Nd:YAP激光烧灼治疗涎腺囊肿

采用Nd:YAP激光烧灼治疗涎腺囊肿120例,有效率为100%,疗效优于其它疗法。     

Nd:YAG激光治疗耳鼻咽喉囊肿123例疗效观察

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。     

鼻内镜下YAG激光治疗咽囊囊肿

目的:目探讨在鼻内镜下YAC激光治疗咽囊囊肿的方法及疗效。方法:在鼻内镜下利用YAG激光治疗咽囊囊肿13例,1例伴有鼻息肉,鼻内镜下利用电动切削器切除,余12例在鼻内镜下利用YAG激光治疗,其中咽囊脓肿3例。结果:经1至2年随访,总有效率达100%,无并发症。结论:在鼻内镜下利用YAG激光治疗咽囊囊肿,该方法视野清晰,操作简单,出血少,病人痛苦小,门诊即可完成,疗效可靠,值得推广。     

The frequency of hard glottal attacks in patients with muscle tension dysphonia, unilateral benign masses and bilateral benign masses

Hard or abrupt glottal attack (HGA) is one of the vocal behaviors often associated with benign lesion of the vocal folds. This study was designed to determine whether the frequency of HGA was different in hyperfunctional voice patients with and without vocal fold masses. One hundred and forty-seven subjects were studied. All subjects received a complete otolaryngological evaluation including strobovideolaryngoscopy, objective voice measures, and evaluation by a speech-language pathologist. Thirty-two patients were diagnosed with muscle tension dysphonia (19 male, 13 female) without vocal fold masses. Fifty-seven patients were diagnosed with unilateral vocal fold masses (29 male, 28 female), most of which were cysts. Fifty-eight patients were diagnosed with bilateral vocal fold masses (13 male, 45 female). Of the 45 females with bilateral vocal fold masses. 26 had a vocal cyst and reactive nodule and 19 had bilateral vocal fold nodules. The control group was balanced and matched based on sex and on percentage of singers and nonsingers. It consisted of 49 subjects with no vocal fold pathology (20 male, 29 female). The group was composed of professional speakers, singers, and nonprofessional speakers. All voice disordered groups demonstrated higher frequencies of HGA than the control group. Differences were found between the male and female subjects in this study. No differences were found between the various disorders. Differences were also found between the subgroups of bilateral masses, where the bilateral nodules group presented a higher frequency of HGA than the cyst and contralateral reactive nodule.     

输尿管开口囊肿、狭窄及膀胱颈部挛缩的HO:YAG激光治疗

目的利用HOYAG激光的软组织切割及止血作用,对输尿管开口囊肿、狭窄及膀胱颈部挛缩的患者行激光治疗,并观察疗效.方法采用HOYAG激光对6例输尿管开口囊肿,15例输尿管开口狭窄(其中3例合并输尿管结石),32例膀胱颈部挛缩进行治疗,观察术中出血、术后并发症、膀胱挛缩患者手术前后Qmax.结果总计53例患者通过HOYAG激光治疗,均获得满意临床疗效,术中几乎无出血,输尿管开口囊肿及狭窄患者,术毕能顺利留置F7双猪尾巴导管.膀胱颈部挛缩患者术后最大尿流率提高了7.6ml/s(7.2～14.8ml/s).结论HO;YAG激光对输尿管开口囊肿、狭窄及膀胱颈部挛缩是一种行之有效的治疗方法,且无出血,易于操作、安全、恢复快.尤其是输尿管结石合并输尿管开口狭窄患者,可通过HOYAG激光一次手术解决.     

CO2激光治疗口腔粘液腺囊肿82例

用CO2 激光治疗口腔粘液腺囊肿 82例 ,有效率 10 0 % ,该疗法操作简单 ,安全 ,患者痛苦小 ,组织损伤轻。