喉氣囊腫及相關(guān)疾病的鑒別及診療分析
發(fā)布時(shí)間:2018-03-18 18:12
本文選題:喉氣囊腫 切入點(diǎn):相鑒別疾病 出處:《福建醫(yī)科大學(xué)》2011年碩士論文 論文類(lèi)型:學(xué)位論文
【摘要】:目的:探討喉氣囊腫及相關(guān)疾病的臨床表現(xiàn)、診斷、鑒別診斷及治療方法。 方法:回顧性分析2例喉氣囊腫患者的臨床表現(xiàn)、體格檢查、影像學(xué)表現(xiàn)、治療方法及隨訪 結(jié)果,并進(jìn)行文獻(xiàn)復(fù)習(xí),加深對(duì)喉氣囊腫的認(rèn)識(shí)和警惕性。對(duì)比分析喉氣囊腫與其相鑒別疾病的異同點(diǎn),總結(jié)臨床經(jīng)驗(yàn)。結(jié)果:2例喉氣囊腫患者經(jīng)手術(shù)治療后,癥狀均消失,病情痊愈。其相鑒別疾病通過(guò)治療均取得較滿意結(jié)果。 結(jié)論:喉氣囊腫臨床上罕見(jiàn),易誤診、漏診。當(dāng)患者有以下情況需提高警惕:1、病程長(zhǎng),有用力咳嗽、吹奏管弦樂(lè)器等誘因;2、癥狀為間歇性,發(fā)作時(shí)可在頸部觸及腫塊;3、常有聲音嘶啞、呼吸不暢及喘鳴;4、喉部CT提示腫塊與喉室相連、腫塊含液體及氣體、增強(qiáng)掃描不強(qiáng)化,借此可對(duì)該病進(jìn)行確診。一旦確診,治療方案由疾病的嚴(yán)重程度及臨床分型決定,手術(shù)治療效果好。手術(shù)亦是治療其相鑒別疾病的有效手段。
[Abstract]:Objective: to investigate the clinical manifestations, diagnosis, differential diagnosis and treatment of laryngeal air cyst and related diseases. Methods: the clinical manifestations, physical examination, imaging findings, treatment methods and follow-up of 2 patients with laryngeal gas cyst were retrospectively analyzed. Results: literature review was carried out to deepen the understanding and vigilance of laryngeal gas cysts. The similarities and differences between laryngeal gas cysts and their differential diseases were analyzed, and the clinical experience was summarized. Results the symptoms of 2 cases of laryngeal gas cysts disappeared after surgical treatment. The disease was cured and satisfactory results were obtained by treatment. Conclusion: laryngeal gas cyst is rare in clinic, easy to be misdiagnosed and missed diagnosis. When the patient has the following condition, need to be on guard: 1, the course of disease is long, have strong cough, blow wind string instrument and so on inducement 2, the symptom is intermittent, During the attack, the tumour can be reached in the neck, often with hoarseness, dyspnea and wheezing. The larynx CT indicates that the mass is connected to the laryngeal ventricle, the mass contains fluid and gas, and the enhanced scan is not enhanced, so that the disease can be diagnosed. The treatment scheme is determined by the severity and clinical classification of the disease, and the effect of surgical treatment is good, and surgery is also an effective means to treat the disease.
【學(xué)位授予單位】:福建醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2011
【分類(lèi)號(hào)】:R767
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相關(guān)期刊論文 前10條
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