支撑喉镜显微镜下自制喉显微注射器注射博来霉素治疗喉血管瘤

车娜; 余少卿; 刘双喜; 金玲; 葛荣明

doi:10.13201/j.issn.1001-1781.2017.06.007

支撑喉镜显微镜下自制喉显微注射器注射博来霉素治疗喉血管瘤

- 同济大学附属同济医院(上海市同济医院)耳鼻咽喉科(上海, 200065)

详细信息

通讯作者: 葛荣明, E-mail:rongmingge@sina.com

中图分类号: R739.65

收稿日期: 2016-12-20

Treatment of hemangioma of larynx by injecting bleomycin with a modified laryngeal micro-injector under the suspension laryngoscope and operating microscope

- Department of Otolaryngology, Tongji Hospital Affiliated to Tongji University, Shanghai Tongji Hospital, Shanghai, 200065, China

More Information

Corresponding author: GE Rongming, E-mail: rongmingge@sina.com

Received Date: 20 December 2016

摘要

摘要: 目的: 探讨支撑喉镜显微镜下自制喉显微注射器注射博来霉素治疗喉血管瘤的有效性和安全性。方法: 分析2012-01-2016-09期间我科收治的喉部血管瘤患者13例,瘤体直径1.2~3.8 cm。均在全身麻醉支撑喉镜显微镜下自制喉显微注射器注射博来霉素治疗。依据瘤体大小注射博来霉素4.5~7.5 mg,注射后瘤体残留者每隔4周再次注射,直至治愈。结果: 支撑喉镜显微镜下注射1次后治愈为4例,注射2次后治愈6例,注射3次后治愈3例,所有病例术后密切随访观察,均未见复发。结论: 支撑喉镜显微镜下自制喉显微注射器注射博来霉素治疗喉血管瘤具有精准、微创、疗效肯定之优点。
- 喉血管瘤 /
- 支撑喉镜 /
- 手术显微镜 /
- 博来霉素 /
- 自制喉显微注射器
Abstract: Objective: To investigate the efficacy and safety of treating laryngeal hemangioma by injecting bleomycin with self-made laryngeal microinjector under the suspension laryngoscope and operating microscope.Method: Thirteen patients with hemangioma of larynx(diameters of tumors range from 1.2-3.8 cm) were admitted and treated by injecting bleomycin with a modified laryngeal micro-injector under the suspension laryngoscope and operating microscope from January 2012 to September 2016. According to the tumor size, 4.5-7.5 mg bleomycin was injected and the patients received treatment every four weeks until there were no evident tumor residues.Result: Four of the 13 patients were cured after the first injection, 6 were cured after the second injection, and 3 cured after the third injection. All cases were followed up without recurrence.Conclusion: Bleomycin injection with a modified laryngeal micro injector under the suspension laryngoscope and operating microscope is proved to be a effective measure with the advantage of precise, minimal- invasive, and efficient therapeutic effect in treatment of laryngeal hemangioma.
- hemangioma of larynx /
- suspension laryngoscopy /
- operating microscope /
- bleomycin /
- self-made laryngeal micro injector

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