支撑喉镜下手术及射频治疗小儿喉乳头状瘤36例临床分析

Effects of surgery under support laryngoscope and radio frequency therapy in 36 pediatric patients with papilloma

目的：探讨支撑喉镜下手术及射频治疗小儿喉乳头状瘤的手术效果。方法：对36例小儿喉乳头状瘤在支撑喉镜下采用手术切除治疗,并对其中26例肿瘤范围较广泛,创面容易出血或易形成喉粘连的患儿结合射频治疗。结果：手术时间（11.2±2.6）min,出血量〈30 mL;术后3个月28例发音质量良好。36例随访2~5年,3年复发率52%（19/36）,其中初发患儿复发率30.0%（3/10）,复发患儿再次复发率61.5%（16/26）。结论：采用支撑喉镜下手术切除＋射频治疗,可以精确切除肿瘤,最大可能保留正常的喉黏膜,手术出血少,时间短,术后住院时间短,疗效确切。

Objective： To investigate Effects of surgery under support laryngoscope and radio frequency therapy in 36 pediatric patients with larynx papilloma.Methods： Larynx papilloma in 36 pediatric patients were removed by surgery under support laryngoscope and radio frequency therapy was further applied in 26 cases that has extensive lesion which is prone to bleeding or larynx adhension.Results： The mean operation time was（11.2±2.6） min with blood lose of less than 30 mL.Three months after the operation,28 remained former vocal quality.Follow up ranging from 2-5 years showed that reoccurrence rate for the 36 patients in 3 years was 52%（19/36）.For those had their first onset,the reoccurrence rate was 30%（3/10）,while for those suffered from reappearance of larynx papilloma,it was 61.5%（16/26）.Conclusions： combing use of surgery under support laryngoscope and radio frequency therapy can remove the papilloma completely and effectively which can preserve larynx mucosa with less bleeding and shorter recovery time and hospital stay.