激光血管溶解术治疗声带息肉

Toshiki Kobayashi, Toshiki Kobayashi, S. Hirano, I. Tateya, Masanobu Mizuta, J. Ito
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摘要

血管溶解激光,如KTP/532 nm,绿色激光/532 nm,或脉冲染料激光(PDL)/585nm已被证明对治疗各种声带病变,包括出血性病变,乳头状瘤,白斑和Reinke水肿有用。由于激光在手术过程中引起的出血最小,因此基于办公室的门诊手术是很好的适应症。还证实,激光治疗对底层组织造成的热损伤可以忽略不计,因为激光功率低,能量被氧血红蛋白很好地吸收。本文报道了16例出血性/非出血性声带息肉血管溶解激光手术的安全性和声带预后。结果显示,术后声带功能明显改善,声带无瘢痕形成。
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Angiolytic Laser Surgery for Vocal Fold Polyps
Angiolytic laser such as KTP/532 nm, green laser/532 nm, or pulse dye laser (PDL)/585nm have proven useful for the treatment of various vocal fold lesions including hemorrhagic lesions, papilloma, leukoplakia, and Reinke’s edema. Since the laser causes minimal bleeding during the procedure, office based out-patient surgery is well indicated. It has also been confirmed that laser treatment causes negligible heat damage to the underlying tissues because of low lasing power and good absorption of the energy into oxyhemoglobin. The present case series provided safety and vocal outcome of angiolytic laser surgery for 16 cases with hemorrhagic / non-hemorrhagic vocal polyps. The results showed significant i mprovement of vocal function postoperatively with no scarring effects on the vocal folds.
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