儿童声门下区肿物诊治方法的探讨

刘薇; 张杰; 唐力行

doi:10.13201/j.issn.1001-1781.2015.03.016

儿童声门下区肿物诊治方法的探讨

- 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(北京, 100045)

详细信息

通讯作者: 张杰,E-mail:stzhangj@263.net

中图分类号: R739.6

收稿日期: 2014-09-16

To investigate the diagnosis and treatment of children with subglottic area tumor

- Department of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, Affiliated Capital Medical University, Beijing Key Laboratory of Pediatric Otorhinolaryngology Head and Neck Surgery, Beijing, 100045, China

More Information

Corresponding author: ZHANG Jie, E-mail: stzhangj@263.net

Received Date: 16 September 2014

摘要

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。
- 儿童 /
- 声门下肿物 /
- 普萘洛尔 /
- 平阳霉素 /
- CO₂激光
Abstract: Objective: To discuss the diagnosis and treatment method in children with mass in subglottic.Method: There were totally 35 patients with subglottic mass who complained with dyspnea in our department. All the patients got electronic laryngoscopy examination in order to get the preliminary judgment of the mass' property. Then they accepted ultrasound and CT scan to make the definite diagnosis. The patients with subglottic hemangioma accepted oral propranolol or intralesional Pingyangmycin injection. The other type of masses got the laryngoscope CO₂ laser tumor resection.Result: There were 31 patients with subglottic hemangiomas, 2 patients with subglottic cysts, 1 patient with subglottic fibroma, 1 patient with subglottic granuloma. The substantial follow-up time was from 1 month to 3 years.25 patients with subglottic hemangiomas were cured, 6 patients got improvement. The patients with non-hemangiomas were all cured.Conclusion: There was a high incidence of hemangioma in children with subglottic mass. We suggested making a diagnosis by doing electronic laryngoscopy, ultrasound and CT scan step by step. Oral propranolol was a safe and effective method in treating subglottic hemangioma. For the patients with non-hemangiomas, we considered the laryngoscope CO₂ laser tumor resection as the first choice of treatment.
- children /
- subglottic area tumor /
- propranolol /
- pingyangmycin /
- CO₂ laser

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