可视喉镜在婴幼儿会厌囊肿摘除术中的应用

Application of Video Laryngoscope in Infants with Epiglottic Cysts

目的 探讨可视喉镜在婴幼儿会厌囊肿手术中的应用前景。方法 对2010年1月至2014年2月收治的76例婴幼儿会厌囊肿患儿的临床资料进行回顾性分析。全组患儿均在完善术前检查后在全麻气管插管可视喉镜下行会厌囊肿切除术,术后定期随访。结果 76例患儿均顺利接受手术,术中、术后无并发症出现,术后有2例患儿送重症监护病房监护24~48h。所有患儿手术后住院时间少于8d,出院时喉鸣、气促、进食时呕吐症状均明显改善或消失,所有患儿术后随访6个月以上未见复发。结论 可视喉镜下切除婴幼儿会厌囊肿具有手术时间短、出血少、损伤小、术后组织反应轻等优点。

Objective To discuss the application prospect of video laryngoscope in infants with epiglottic cysts. Methods Retrospectively analyzed seventy-six cases of infants with epiglottic cysts, which was from January 2010 to February 2014. All patients were performed the epiglottic cysts resection with video laryngoscope under the general anesthesia, were regular follow-up after operation. Results The operations on all patients were successful and no complications occurred during the operation. Only two cases were sent to the intensive care unit for 24 to 48 hours after the operation. The post operation hospitalization duration was less than eight days. Most of symptoms （laryngeal stridor, polypnea and emesis） disappeared or were significantly improved. All patients followed up more than 6 months, and no recrudescence occurred. Conclusion The application of video laryngoscope in infants with epiglottic cysts has the advantages of shorter operative time, less blood loss, less tissue damage and less post-operative reaction.