20例小儿喉乳头状瘤治疗体会

Clinical study on treatment of laryngeal papillomas in children

目的 探讨小儿喉乳头状瘤的疗效。方法 2 0例患儿均于支撑喉镜下以手术方法彻底切除肿瘤 ,其中单纯手术 (Ⅰ组 ) 11例 ,手术 +微波治疗 (Ⅱ组 ) 6例 ,术后以干扰素治疗 (Ⅲ组 ) 3例。结果 总治愈率 60 % ,Ⅰ组、Ⅱ组、Ⅲ组治愈率分别为 :45 .4%、83 .3 %、66.7%。Ⅱ组治愈率高于Ⅰ组 (P <0 .0 5 )。结论 术后以微波处理创面可提高手术治疗率。

Objective To explore an effective treatment for laryngeal papillomas in children.Methods Twenty children with laryngeal papillomas were treated by tumor removal under selfretaining laryngoscope.Of them,11 were treated by surgery only (Ⅰ group) 6 by surgery and microwave (Ⅱ group) and 3 by in jectiom of interferon after operation (Ⅲ group).Results The total cure rate was 60%,and the cure rates for Ⅰ 、Ⅱ and Ⅲ group were 45.4%、83.3%、66.7% respectively.The therapeutic efficacy in Ⅱ group was better than that in Ⅰ group (P<0.05).Conclusions The combination of surgery and microwave after operation could improve therapeutic efficacy of laryngeal papillomas in childern.