Objective. To explore the surgical method selection and curative effect of minimally
invasive treatment of glottis laryngeal cancer. Methods. Retrospective analysis of
71 cases of early glottic laryngeal cancer treated by our department from 2011 to
2017 (Stage:TisN0M0, T1N0M0, T2N0M0). According to the lesion tissue and its corresponding
safety margin, it is standard to support laryngeal endoscopy and microscopical exposure,
all under the microscope,18 cases of CO2 laser surgery, CO2 laser combined with low-temperature
plasma surgery for 44 cases. Contrast two methods of operation efficacy, the comparison
of matched data was tested by X2. Results. All patients were followed up for 6 months
to 3 years after surgery. Under the microscope, 2 of the patients with CO2 laser surgery
were treated with recurrence (recurrence rate 11.1%) and cure rate (88.9%). Under
the microscope, the combination of CO2 laser combined with low-temperature plasma
surgery, the recurrence rate (recurrence rate 9.1),(cure rate 90.9%). The difference
was not statistically significant (X2 = 2.25, P > 0.05). Conclusion. Early glottis
type of throat cancer minimally invasive treatment according to expose laryngeal lesion
condition, can choose the microscope CO2 laser surgery procedures or microscope CO2
laser combined with low temperature plasma surgery procedures, can achieve good curative
effect.
Key words:microsurgery, Early glottis type of throat cancer CO2 laser surgery, low-temperature
plasma surgery.
