小儿喉乳头状瘤31例临床小结

Laryngeal papillomas in children

报告31例小儿喉乳头状瘤的病例资料。本病特点：病情发展快，病变范围广，声门下发生率高，气管切开率高和绝少癌变。认为似不应以手术次数作为分型依据；术前要对肿瘤精确定位和明确范围；术中应用激光消除残存瘤组织和止血，可获较好疗效；术后密切随访观察，及时发现和处理复发病例。

A total of 31 cases of laryngeal papilloma in children in the 42 year period between 1952 and 1994 have been collected in this article. There are l8 males and 13 females, the medium age is 5. The shortest course was 3 days,and the average course was 10 months. Of these cases, 9 parts at the most involve pathological changes, and on average, above 3 parts. The rate of tracheotomies was approximatly 65 percent. The total cure rate and the initial cure rate were 80 percent and 67 percent respectively. As illustrated in this article,rapid development, a large affected area, a high rate of tracheotomy and cancer transformations constitute the marked clinical features of the disease. It is also noted that the disease classification should not be based on the number of operations. Furthermore,we believe it is necessary to locate tumors accurately and determine involved areas preoperatively by using modern diagnostic techniques, eliminating tumor tissue and resisting bleeding by adding laser radiation during operations,and to find and treat recurrent cases instantly through close post-operative follow-up.