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[儿童喉尖锐湿疣的外科治疗]

[Surgical treatment for laryngeal condyloma acuminata in children].

作者信息

Li Chuangwei, Jiang Yuanshi, Zen Shaowei, Lin Xin, Yang Chu

机构信息

Department of Otolaryngology-Head and Neck Surgery, Shantou Central Hospital, Shantou, 515031, China.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2004 Apr;18(4):229-30.

Abstract

OBJECTIVE

To investigate the therapeutic methods of laryngeal condyloma acuminata in children.

METHOD

Operative treatment was performed in 43 cases of laryngeal condyloma acuminata in children. Direct laryngoscopy with removal of laryngeal tumor under surface anesthesia was performed in 26 cases, and trachea cannula, retaining laryngoscopy with removal of laryngeal tumor under general anesthesia were performed in 17 cases, hypodermic implantation of the removal condyloma acuminata at medial upper arm and submucous injection of interferon at vocal fold were performed in 13 cases at the same time.

RESULT

Cases were followed-up, 26 cases were cured, 7 cases were improved, 2 cases were dead, 7 cases needed tracheotomy, 3 cases had difficulty of decannulation.

CONCLUSION

Wide affected part and high recurrence rate are characters of this disease, the tumor can be removed more accurately and the recurrence rate can be decreased when performing self-retaining laryngoscopy with removal of laryngeal tumor combined with hypodermic implantation of the removal condyloma acuminata at medial upper arm and submucous injection of interferon at vocal fold. Difficulty of decannulation can also be avoided after tracheotomy.

摘要

目的

探讨儿童喉尖锐湿疣的治疗方法。

方法

对43例儿童喉尖锐湿疣患者进行手术治疗。其中26例行表面麻醉下直接喉镜下喉肿物切除术,17例行气管插管全身麻醉下支撑喉镜下喉肿物切除术,13例同时行上臂内侧皮下植入切除的尖锐湿疣及声带黏膜下注射干扰素。

结果

对病例进行随访,26例治愈,7例好转,2例死亡,7例需行气管切开术,3例拔管困难。

结论

本病具有病变范围广、复发率高的特点,采用支撑喉镜下喉肿物切除术联合上臂内侧皮下植入切除的尖锐湿疣及声带黏膜下注射干扰素,可更精确地切除肿瘤,降低复发率,气管切开术后也可避免拔管困难。

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