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目的探讨1341nm Nd:YAP激光照射切除耳鼻咽喉—头颈部血管瘤和血管畸形及血管源性肿瘤的临床应用和疗效。方法采用1341nm Nd:YAP激光接触式和非接触式凝固气化照射、翻瓣光凝术(组织间照射)、直接喉镜下激光手术等方法,切除耳鼻咽喉头颈部血管瘤和血管畸形及血管源性肿瘤123例。结果经过2～4年的随访观察,本组123例中,有100例治愈(81.30%)、显效23例(18.70%),临床治疗效果满意。结论 1341nm Nd:YAP激光手术方法安全可靠,是目前治疗耳鼻咽喉—头颈部血管瘤和血管畸形最为有效的手段之一,值得临床应用。
Objective To investigate the clinical application and curative effect of 1341nm Nd: YAP laser irradiation for the removal of otolaryngology-head and neck hemangiomas and vascular malformations and angiogenic tumors. Methods 1341nm Nd: YAP laser contact and non-contact coagulation and gasification irradiation, flap photocoagulation (interstitial irradiation), direct laryngoscope laser surgery and other methods, removal of otolaryngology head and neck hemangiomas and vascular malformations and 123 cases of vascular tumors. Results After 2 to 4 years of follow-up, of the 123 patients in this group, 100 were cured (81.30%) and 23 were markedly effective (18.70%), with satisfactory clinical outcomes. Conclusion The 1341nm Nd: YAP laser is safe and reliable, which is one of the most effective methods for the treatment of otolaryngology-head and neck hemangiomas and vascular malformations. It is worthy of clinical application.