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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Clinical Effects of Radiofrequency Coblation for Adult Laryngopharyngeal Vascular Lesions
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Clinical Effects of Radiofrequency Coblation for Adult Laryngopharyngeal Vascular Lesions

机译：射频涂层对成年喉咽血管病变的临床影响

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Objective To explore the feasibility and efficacy of transoral radiofrequency coblation surgery (TRS) in the treatment of adult laryngopharyngeal vascular lesion (LVL). Methods A total of 15 patients with LVL were retrospectively studied, including 11 capillary lesions and five cavernous lesions (there was one case with two separate lesions). All of the lesions were treated with TRS alone (capillary lesion) or with a combination of TRS and sclerotherapy (cavernous lesion). The treatment efficacy was evaluated according to the modified Achauer criteria: grade 1, no change in size; grade 2, a decrease of = 50% but < 100%; and grade 4, the disappearance of the lesion with no recurrence for at least 6 months. Results The surgical procedures were successfully completed in all patients. According to the modified Achauer criteria, the treatment outcomes were grade 4 for 10 capillary lesions and one cavernous lesion; grade 3 for one capillary lesion and one cavernous lesion; grade 2 for one cavernous lesion; and grade 1 for two cavernous lesions, respectively. No complications related to the surgery, including bleeding, dysphagia, and infections, occurred after treatment. Conclusion The TRS is an effective treatment option for LVL, especially for patients with laryngopharyngeal capillary lesions. Level of Evidence 4Laryngoscope, 2020
机译：目的探讨经口射频消融（TRS）治疗成人喉咽部血管病变（LVL）的可行性和疗效。方法回顾性分析15例左室肥厚患者的临床资料，其中11例为毛细血管病变，5例为海绵状病变（1例为两个独立病变）。所有病变均单独使用TRS（毛细血管病变）或结合TRS和硬化治疗（海绵状病变）。根据改良的Achauer标准评估治疗效果：1级，大小无变化；2级，下降=50%，但<100%；4级，病变消失，至少6个月内无复发。结果所有患者均顺利完成手术。根据改良的Achauer标准，10个毛细血管病变和1个海绵状病变的治疗结果为4级；一个毛细血管病变和一个海绵状病变为3级；1例海绵状病变2级；两个海绵状病变分别为1级。治疗后未出现与手术相关的并发症，包括出血、吞咽困难和感染。结论TRS是治疗LVL的有效方法，尤其是对喉咽部毛细血管病变的患者。证据水平4喉镜，2020年

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