摘要
目的:探讨儿童喉部神经纤维瘤(laryngeal neurofibromas, LNF)的临床表现及经口内镜辅助下的喉显微外科手术治疗效果,可为该病的诊断与治疗提供临床参考。方法:回顾性分析2021年1月-2023年6月重庆医科大学附属儿童医院耳鼻咽喉头颈外科收治的4例喉部肿瘤患儿的临床资料。采用经口内镜辅助下喉显微外科技术对4例喉部肿瘤患儿进行了切除,其中1例同时行气管切开术,1例同时行喉T管置入与气管切开术。结果:所有患儿均顺利手术,术后病理检查提示3例LNF,1例血管瘤。术后随访,患儿喉鸣、活动后呼吸困难等临床症状均得到改善,未见肿瘤复发。结论:手术切除目前是LNF的最佳治疗方法,对有手术指征者应积极采取喉显微外科手术治疗。该手术方法具有疗效好、微创、美观和喉功能保留的优势,不仅保障了手术安全性,还提高了术后的生存质量,具有发展与推广的价值。
Objective:To investigate the clinical manifestations and the effect of peroral endoscopic-assisted laryngeal microsurgery for children with laryngeal neurofibroma,and to provide clinical reference for the diagnosis and treatment of this disease.Methods:The clinical data of 4children with laryngeal tumors admitted to the Department of Otorhinolaryngology,Children's Hospital of Chongqing Medical University from January 2021to June 2023were retrospectively analyzed.Laryngeal tumors were removed by peroral endoscopic-assisted laryngeal microsurgery.One case underwent tracheotomy at the same time,and one case was simultaneously performed with laryngeal T tube placement and tracheotomy.Results:Surgical resection is the best treatment for laryngeal neurofibroma,and laryngeal microsurgery should be actively used for patients with surgical indications.This surgical method has the advantages of good efficacy,minimal invasion,aesthetics and preservation of laryngeal function,which not only ensures safety,but also improves the quality of life after surgery,and has the value of development and promotion.
作者
邹祺缘
姚红兵
杨阳
唐新业
ZOU Qiyuan;YAO Hongbing;YANG Yang;TANG Xinye(Department of Otolaryngology Head and Neck Surgery,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing,400014,China)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2023年第12期960-963,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
喉部神经纤维瘤
儿童
喉显微外科
laryngeal neurofibromas
children
laryngeal microsurgery
