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我们应用Nd:YAG激光配合化疗治疗增殖型喉结核二例,取得了满意效果,认为该法具有见效快,症状改善明显,无并发症,患者乐于接受等优点.1 临床资料病例1,女,73岁.渐进性声嘶4月余,于1992年9月22日收入院.入院前,曾因“右室带肿物”,行抗炎治疗20余天无效.既往无特殊传染病史.入院检查,右侧室带前1/2处有一片状新生组织,暗红色,遮盖同侧部分声带.胸透及胸片示“慢性支气管炎、肺气肿”.入院诊断“喉新生物性质待查”.9月25日行喉活检,报告为“增殖型喉结核”.之后即给全身抗痨治疗,一个半月后症状无明显改善,局部肿块仍在,且声嘶无好转.于11月13日全麻支撑喉镜下行YAG激光肿块烧灼术,将肿块完全烧尽,创面至碳化,术中出血少.术后疼痛轻微,声嘶逐日改善,一周后出院,发声完全正常,手术创面光滑平整.出院后继续服用抗痨药至半
We use Nd: YAG laser combined with chemotherapy in the treatment of proliferative laryngeal tuberculosis in two cases, and achieved satisfactory results, that the method has a quick, significant improvement in symptoms, no complications, patients willing to accept other advantages .1 Clinical data Case 1, female, 73 years old. Gradual hoarseness More than 4 months, in September 22, 1992 income hospital before admission, was due to “right ventricular banding”, anti-inflammatory treatment for more than 20 days invalid .No previous history of a special infectious disease. , The right ventricular zone with a piece of the first half of the flaky neonatal tissue, dark red, covering the ipsilateral part of the vocal cords. Chest X-ray and chest X-ray showed “chronic bronchitis, emphysema.” Admission diagnosis “ September 25 throat biopsy, reported as ”proliferative throat tuberculosis." Immediately after giving systemic anti-tuberculosis treatment, a half months later no significant improvement in symptoms, local mass is still, and hoarseness did not improve .In November 13 Day general anesthesia support laryngoscope down YAG laser mass cauterization, the mass completely burned, the wound to carbonation, less bleeding during surgery.Slightly postoperative pain, hoarseness improved daily, a week after discharge, the sound was normal, the operation of the wound smooth After discharge, continue taking anti-tuberculosis drugs until half