非鳞状细胞来源声门下区肿物的诊断与治疗

发布时间：2018-05-18 02:22

本文选题：非鳞状上皮 + 声门下区肿物　；参考：《临床耳鼻咽喉头颈外科杂志》2014年03期

【摘要】：目的:探讨非鳞状细胞来源声门下区肿物的临床特征,诊断、病理类型和治疗方法,提高对这一罕见疾病的认识。方法:分析3例非鳞状细胞来源声门下区肿物患者的临床资料,结合相关文献,总结非鳞状细胞来源的声门下区肿物的临床表现、诊断和治疗经验。结果:3例患者中,1例以声嘶为主要症状,2例以吸气性呼吸困难为主要症状;3例在明确诊断及解除喉梗阻后均行声门下区肿物切除手术,其中2例经口行支撑喉镜下手术切除,1例经颈部入路切开环甲膜后行肿物切除手术,均完整切除肿物。1例上皮-肌上皮癌患者采取术后放疗,疗效满意。3例随访至今,无复发。结论:声门下型非鳞状细胞来源肿物较为罕见,早期容易漏诊,临床上应对声门下区仔细检查。治疗该类疾病以手术切除为主,可根据肿物大小、范围选择适宜的手术方式。
[Abstract]:Objective: to investigate the clinical features, diagnosis, pathological types and treatment of subglottic tumors derived from non-squamous cells, and to improve the understanding of this rare disease. Methods: the clinical data of 3 patients with nonsquamous cell-derived subglottic tumor were analyzed. The clinical manifestations, diagnosis and treatment experience of non-squamous cell-derived subglottic tumor were summarized. Results among the 3 cases, 1 case had hoarseness as the main symptom, 2 cases had inspiratory dyspnea as the main symptom, and 3 cases underwent subglottic mass resection after definite diagnosis and relief of laryngeal obstruction. Among them, 2 cases underwent laryngoscopic resection through mouth and 1 case underwent tumor resection after cervical incision of the cystothyroid membrane. All cases were treated with postoperative radiotherapy. The curative effect was satisfactory in 3 cases, and no recurrence was found. Conclusion: subglottic non-squamous cell masses are rare and easy to be missed in early stage. The subglottic area should be carefully examined clinically. Surgical resection is the main treatment for this kind of disease, and the appropriate operation method can be selected according to the size and scope of the tumor.
【作者单位】：北京大学第三医院耳鼻咽喉头颈外科;
【分类号】：R739.65

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