Fu Chia-Hsiang, Lee Li-Ang, Fang Tuan-Jen, Wong Kin-Sun, Li Hsueh-Yu
Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan.
Pediatr Pulmonol. 2007 Jan;42(1):89-92. doi: 10.1002/ppul.20530.
Of the many therapeutic modalities that have been developed for infantile subglottic hemangioma (ISH), the most common technique is endoscopic excision with carbon dioxide laser, used alone or combined with other therapeutic techniques. A staged procedure has been proposed as the preferred choice for patients with severe airway obstruction. Nevertheless, ever since the neodymium: yttrium-aluminum-garnet (Nd:YAG) laser was developed, this modality has been considered feasible to treat vascular tumor in the airway due to good hemostasis power. We present two cases of ISH with severe airway obstruction that underwent endoscopic surgery using an one-stage Nd:YAG laser approach. Details of the laser characteristics and surgery techniques are described in this article.
在已开发的多种用于治疗小儿声门下血管瘤（ISH）的治疗方法中，最常用的技术是单独使用或与其他治疗技术联合使用二氧化碳激光进行内镜切除。对于严重气道阻塞的患者，已提出分期手术作为首选方案。然而，自从钕：钇铝石榴石（Nd：YAG）激光被开发以来，由于其良好的止血能力，这种方法被认为可用于治疗气道中的血管肿瘤。我们报告两例严重气道阻塞的ISH患者，他们接受了使用单阶段Nd：YAG激光方法的内镜手术。本文描述了激光特性和手术技术的详细信息。
