喉部肉芽肿型毛细血管瘤临床分析

Clinical analysis of granulomatous capillary hemangioma of the larynx

目的:提高对喉部肉芽肿型毛细血管瘤诊治的认识。方法:收集我科2006-2011年间收治的肉芽肿型毛细血管瘤患者,分析患者的临床资料、治疗及随访观察情况。结果:10例喉部肉芽肿型毛细血管瘤患者中,8例以声嘶为主要表现,这8例中有3例同时伴有咽喉部异物感,1例以咯血为主要表现,1例以咽部异物感伴痰中带血为主要表现就诊,均给予手术治疗,有4例辅以CO2激光治疗。无一例复发。结论:肉芽肿型毛细血管瘤是一种良性的血管增生性病变,非真性肿瘤,完整切除肿块,术后很少复发,预后良好。

Objective：To improve the acknowledgement of clinician on granulomatous capillary hemangioma of the larynx. Method.. Collect patients in our hospital who were treated with granulomatous capillary hemangioma of the larynx from 2006 to 2011 and the clinical data,treatment and follow-up consequence were retrospectively ana-lyzed. Result ： There are 10 cases of laryngeal granulomatous Capillary. Eight patients with hoarseness as the chief complaint, in the eight patients three cases associated with foreign body sensation in the throat. One patient with hemoptysis as the main performance. The left one patient to hospital because of pharyngeal foreign body sensation associated with blood in the sputum. All were treated with surgery, there are several cases supplemented by CO2 laser treatment, so far no csse of postoperative recurrence. Conclusion.. Granulomatous capillary hemangioma is a benign, vascular proliferation of the skin or mucosa, rather than ture tumor. Recurrence is rare if completely ex-cised. The prognosis is encouraging.