儿童声门下区肿物诊治方法的探讨

发布时间：2018-06-20 02:18

本文选题：儿童 + 声门下肿物　；参考：《临床耳鼻咽喉头颈外科杂志》2015年03期

【摘要】：目的:探讨儿童声门下区肿物的诊断及治疗方法。方法:我科以呼吸困难为主诉收治的声门下区肿物患儿35例,所有患者均先行电子喉镜初步判断肿物性质,再行颈部B超及颈部增强CT检查以明确诊断。对于声门下血管瘤的患儿采用口服普萘洛尔、声门下平阳霉素注射治疗,其他类型肿物均行支撑喉镜下CO2激光肿物切除术。结果:经确诊为声门下血管瘤31例,声门下囊肿2例,声门下纤维瘤1例,声门下肉芽肿1例。术后随访1个月~3年,31例血管瘤患儿治疗后25例治愈,6例好转;非血管源性肿物患儿术后均治愈。结论:儿童声门下区肿物中血管源性肿物发生率较高,建议采用电子喉镜、颈部CT及B超等阶梯性诊断方式。口服普萘洛尔治疗声门下血管瘤是一种安全可靠的治疗方法;支撑喉镜下肿物切除术是声门下非血管源性肿瘤的首选治疗方式。
[Abstract]:Objective: to investigate the diagnosis and treatment of subglottic tumors in children. Methods: 35 children with subglottic area mass were diagnosed by electronic laryngoscope, and then examined by B-ultrasonography and enhanced CT. Children with subglottic hemangioma were treated with oral propranolol, subglottic pingyangmycin injection, and other types of tumors were treated by CO _ 2 laser resection under bracing laryngoscope. Results: 31 cases of subglottic hemangioma, 2 cases of subglottic cyst, 1 case of subhilar fibroma and 1 case of subglottic granuloma were diagnosed. Follow-up for 1 month to 3 years was performed in 31 cases of hemangioma, 6 cases were cured and 6 cases were cured after treatment, and all cases were cured after operation. Conclusion: the incidence of vascular neoplasms in subglottic area of children is high. It is recommended to use electronic laryngoscope, neck CT and B ultrasound. Oral propranolol is a safe and reliable method for the treatment of subglottic hemangioma, and laryngoscopic resection is the first choice for subglottic non-vascular tumors.
【作者单位】：首都医科大学附属北京儿童医院耳鼻咽喉头颈外科北京市儿科研究所儿童耳鼻咽喉头颈外科疾病北京市重点实验室;
【分类号】：R739.6

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