婴幼儿鼻咽部新生物的临床分析及诊治探讨

王智楠; 夏菲; 张亚敏; 徐忠强; 郝丽丽; 姚薇; 黄涛; 夏忠芳; 王淑芬

doi:10.13201/j.issn.1001-1781.2016.21.008

婴幼儿鼻咽部新生物的临床分析及诊治探讨

- 武汉市儿童医院耳鼻咽喉科(武汉, 430016)
基金项目:
武汉市卫生局临床医学科研项目(No:WX14A07)

详细信息

通讯作者: 王智楠,E-mail:locke001@163.com

中图分类号: R766.8

收稿日期: 2016-07-24

The clinical analysis and surgical management of infant nasopharyngeal neoplasms

- Department of Otolaryngology, Wuhan Children's Hospital, Wuhan, 430016, China

More Information

Corresponding author: WANG Zhinan, E-mail: locke001@163.com

Received Date: 24 July 2016

摘要

摘要: 目的:分析婴幼儿鼻咽部新生物的临床特征及诊疗经验。方法:回顾性分析2002-06-2015-03期间收治的20例鼻咽部新生物患儿的临床特征,所有患儿均完善术前相关检查后在全身麻醉下行70°内镜下鼻咽部新生物摘除术,新生物常规送病理检查。结果:经鼻内镜手术彻底切除新生物,低温等离子射频消融术操作简单方便、手术时间短、术中出血量少、视野清晰。术后病理检查显示:囊肿5例,畸胎瘤4例,毛息肉4例,错构瘤3例,淋巴组织增生2例,胶质瘤1例,横纹肌肉瘤1例。术后随访6个月~12年,复发2例,其中死亡1例。结论:婴幼儿鼻咽部新生物绝大部分为良性,先天性鼻咽部肿瘤临床比较罕见,多于婴幼儿早期发现。CT及MRI检查对诊断有重要意义。70°鼻内镜下低温等离子射频消融术是值得推广的手术方法。
- 婴幼儿 /
- 鼻咽部新生物 /
- 外科手术
Abstract: Objective: To analysis the clinical features,diagnosis and treatment experience of nasopharyngeal neoplasm in infants.Method: Twenty infants cases of nasopharyngeal neoplasm,from June 2002 to March 2015, admitted in our department were retrospectively studied. Nasopharyngeal neoplasm in all cases were ablated with low temperature plasma radiofrequency ablation after anesthesia downlink preoperative 70 degrees endoscope, and new biological routine pathologic examination were done.Result: The low temperature plasma radiofrequency ablation has several advantages,such as simple and convenient operating, short operating time, intraoperative blood loss and clear vision.Five cases were diagnosed as postoperative pathological cyst,4 cases were teratoma, 4 cases were hairy polyps,3 cases were hamartoma, 2 cases were hyperplasia of lymphoid tissue, 1 case was glioma, and 1 case was rhabdomyosarcoma. Postoperative follow-up for 6 months to 12 years, recurrence were found in 2 cases, including 1 death case.Conclusion: Infants nasopharyngeal neoplasm are almost benign, clinical rare congenital nasopharyngeal tumor more than the early detection of an infant. CT and MRI examination has important significance to the diagnosis. Low-temperature plasma radiofrequency ablation with Seventy degrees nasal endoscope is worth extending.
- infants /
- nasopharyngeal neoplasms /
- surgery

HTML全文

参考文献(12)

[1]	夏菲,王智楠,徐忠强. 新生儿及婴幼儿鼻咽部畸胎瘤的临床特点及诊治探讨[J].临床耳鼻咽喉头颈外科杂志,2015,29(12):1115-1117.
[2]	张庆丰,佘翠萍,全屹峰,等.鼻内镜下低温等离子射频切除术治疗鼻咽血管纤维瘤的初步观察[J].中华耳鼻咽喉头颈外科杂志,2010,45(8):578-581.
[3]	STOCKS R M, EGERMAN R S, WOODSON G E, et al. Airway management of neonates with antenatally detected head and neck anomalies[J]. Head Neck Surg,1997,123:641-645.
[4]	COPPIT G L, PERKINS J A,MANNING S C, et al. Nasopharyngeal teratomas and dermoids:review of the literature and case series[J]. Pediatr Otorhinolaryngol,2000,52:219-227.
[5]	MARRAS T, POENARU D, KAMAL I. Perinatal managementof nasopharyngeal teratoma[J]. Otolaryngol,2005,24:310-312.
[6]	MALIS D J, BREISCH E A, BILLMAN G F. Cartilaginous choristoma of the nasopharynx[J].Clin Anat,2000,13:263-266.
[7]	ELIF A, BURCU S, NAZAN C, et al.Magnetic resonance imaging findings in childhood period nasopharynx cancer[J]. Pol J Radiol, 2015,80:555-560.
[8]	张晶晶,张庆丰,宋伟,等. 鼻内镜下低温等离子治疗鼻咽部囊肿的经验[J].临床耳鼻咽喉头颈外科杂志,2014,28(17):1356-1357.
[9]	傅则名,文连姬,赵胤,等. 鼻内镜下低温等离子射频切除鼻咽肿瘤[J].中国耳鼻咽喉头颈外科,2013,20(7):385-386.
[10]	张亚敏,王智楠,徐忠强. 新生儿及婴幼儿先天性喉囊肿的临床特点及诊治探讨[J].临床耳鼻咽喉头颈外科杂志,2014,27(9):631-634.
[11]	李五一,刘建汉,杨大海,等.经口低温等离子辅助显微外科治疗头颈肿瘤的初步效果[J].协和医学杂志,2012,3(2):143-145.
[12]	何中扬,黄光武.低温等离子射频消融术在耳鼻咽喉-头颈外科疾病中的应用进展[J].广西医科大学学报,2010,27(6):977-979.