杓会厌襞病变113例临床诊治分析

Clinical analyses of 113 aryepiglottic fold diseases

目的分析杓会厌襞区域的疾病分布特点和治疗。方法回顾性分析我院耳鼻喉科2000年1月—2011年5月期间杓会厌襞病变住院患者的临床资料。结果共计113例杓会厌襞病变，良性病变108例，恶性病变5例。居前3位的症状分别为咽部异常感觉（79例）、声音嘶哑（29例）和咽部疼痛（26例）。108例杓会厌襞良性病变中100例直接喉镜下手术；4例血管瘤间接喉镜下行激光术；1例囊肿和1例血管瘤经舌甲膜入路肿物切除术；2例杓会厌襞炎未进行手术治疗。5例杓会厌襞恶性病变中2例全喉切除术；2例半喉切除术；1例确诊后未进行治疗。结论杓会厌襞病变以良性病变为主，前3位症状分别为咽部异常感觉、声音嘶哑和咽部疼痛。杓会厌襞良性病变的治疗以经直接喉镜手术为主，恶性病变以手术切除为主，可辅以CO2激光、钬激光和KTP激光治疗。

Objective To analyze the distribution and treatment of aryepiglottic fold diseases. Methods The clinical data of the inpatients with aryepiglottic fold diseases at our department from January 2000 to May 2011 were retrospectively evaluated. Results Among 113 cases, there were benign （ n = 108 ） and malignant （ n = 5 ） diseases. The three major symptoms were abnormal sensation of throat （ n = 79）, hoarseness （ n = 29 ） and throat pain （ n = 26 ）. Among 108 benign cases, there were surgery under direct laryngoscopy （n = 100 ）, aryepiglottic fold hemangioma undergoing laser under indirect laryngoscopy （ n = 4 ）, one with cyst and another with hemangioma undergoing tumor removal via an external thyrohyoid membrane approach （n = 2 ） and inflammation of aryepiglottic fold undergoing conservative treatment （n = 2）. Among 5 malignant tumors, the procedures included total laryngectomy （ n = 2 ） and semi-laryngectomy （ n = 2）. One patient had not any treatment after a definite diagnosis. Conclusion Most aryepiglottic fold diseases are benign. Their major symptoms include abnormal sensation of throat, hoarseness and throat pain. Surgery under direct laryngoscopy is performed for benign diseases while laryngectomy for malignant ones. CO2, Ho-YAG and KTP laser may also be used.