本文選題：兒童 + 復(fù)發(fā)性呼吸道乳頭狀瘤��； 參考：《山東醫(yī)藥》2017年42期

【摘要】：目的探討兒童復(fù)發(fā)性呼吸道乳頭狀瘤的臨床特征及診治方法。方法回顧性分析19例兒童復(fù)發(fā)性呼吸道乳頭狀瘤病患兒的臨床資料。結(jié)果 19例兒童復(fù)發(fā)性呼吸道乳頭狀瘤病中男9例、女10例;初次發(fā)病年齡4歲者18例;首診時(shí)有喉梗阻呼吸困難表現(xiàn)的患兒13例;電子纖維喉鏡檢查見(jiàn)乳頭狀瘤單發(fā)者2例、多發(fā)者17例;行喉部CT檢查12例,顯示喉內(nèi)軟組織密度影9例;使用喉顯微切割鉆行呼吸道乳頭狀瘤削切術(shù)41例次,術(shù)中見(jiàn)病變侵及聲帶19例次、室?guī)?1例次、喉室14例次,腫瘤切除徹底;患兒復(fù)發(fā)時(shí)間為1~14個(gè)月;死亡2例。結(jié)論兒童復(fù)發(fā)性呼吸道乳頭狀瘤的發(fā)病年齡多在4歲以下,男、女性別之間沒(méi)有明顯差別;最常見(jiàn)的發(fā)病部位為聲帶、室?guī)А⒑硎?電子纖維喉鏡是該病的主要檢查手段,用喉顯微切割鉆切除是治療該病的有效方法。
[Abstract]:Objective to investigate the clinical features, diagnosis and treatment of recurrent respiratory papilloma in children. Methods the clinical data of 19 children with recurrent respiratory papillomatosis were retrospectively analyzed. Results among 19 children with recurrent respiratory papillomatosis, 9 were male and 10 female, 18 were at the age of 4, 13 had dyspnea of laryngeal obstruction at the first visit, 2 were singly diagnosed by electronic fiberoptic laryngoscopy. Multiple larynx in 17 cases, laryngeal CT in 12 cases, laryngeal soft tissue density in 9 cases, laryngeal microdissection drilling in 41 cases of respiratory papilloma, intraoperative involvement of vocal cord in 19 cases, ventricular zone in 11 cases, and laryngeal cavity in 14 cases. The tumor was resected completely, the recurrence time was 1 ~ 14 months, and 2 cases died. Conclusion the onset age of recurrent respiratory papilloma in children is below 4 years old, there is no significant difference between male and female, the most common sites are vocal cord, ventricular band, laryngeal ventricle and electronic fiberoptic laryngoscope. Laryngotomy is an effective method for the treatment of the disease.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬武漢兒童醫(yī)院;
【分類號(hào)】：R739.65

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