新生儿及婴幼儿先天性喉囊肿的临床特点及诊治探讨

发布时间：2018-06-21 19:42

本文选题：婴幼儿 + 先天性喉囊肿　；参考：《临床耳鼻咽喉头颈外科杂志》2014年09期

【摘要】：目的:对62例新生儿及婴幼儿先天性喉囊肿的诊治进行分析,探讨不同术式的特点。方法:回顾性分析62例新生儿及婴幼儿先天性喉囊肿患儿的资料。经完善颈部触诊、喉镜检查以及CT或MRI等相关术前检查后,所有患儿均在全身麻醉下行喉囊肿切除术。根据分类选择手术术式,1例混合型患儿行颈外进路囊肿摘除术;61例喉内型患儿中,12例行传统咬除囊壁术,12例行动力切削系统切除术,37例行低温等离子射频消融术。结果:62例喉囊肿患儿手术顺利,随访0.5~7.0年无复发。结论:对儿童先天性喉囊肿进行分类分析后选择合适的手术方式,可避免不必要的开放式手术进路,阻止囊肿复发和重复的内镜治疗或气管切开术。低温等离子射频消融术治疗儿童喉囊肿具有手术时间短、术中出血少、术后反应轻、复发率低等优点,值得临床推广。
[Abstract]:Objective: to analyze the diagnosis and treatment of 62 cases of congenital laryngeal cyst in newborns and infants. Methods: the data of 62 neonates and infants with congenital laryngeal cyst were retrospectively analyzed. After improved cervical palpation, laryngoscopy and CT or MRI, all children underwent laryngectomy under general anesthesia. According to the classification, one patient with mixed type was treated with external cervical approach and 61 patients with intra laryngeal type. 12 cases were treated with traditional cystectomy and 12 cases with dynamic cutting system. 37 cases were treated with low temperature plasma radiofrequency ablation. Results 62 cases of laryngeal cysts were successfully operated, and no recurrence occurred during the follow-up period of 0.5 ~ 7.0 years. Conclusion: by classifying and analyzing the congenital laryngeal cysts in children, we can avoid the unnecessary open surgical approach and prevent the recurrence of the cyst and repeated endoscopic treatment or tracheotomy. Low temperature plasma radiofrequency ablation in the treatment of laryngeal cysts in children has the advantages of short operation time, less intraoperative bleeding, light postoperative reaction and low recurrence rate, which is worthy of clinical promotion.
【作者单位】：武汉市妇女儿童医疗保健中心耳鼻咽喉科;
【分类号】：R767.1

【参考文献】