小儿喉尖锐湿疣43例临床分析

Surgical treatment for laryngeal condyloma acuminata in children

目的 :探讨小儿喉尖锐湿疣的治疗方法。方法 :对 4 3例小儿喉尖锐湿疣进行手术治疗 ,2 6例在表面麻醉下行直接喉镜喉肿瘤切除术 ,17例在全身麻醉下行气管插管、支撑喉镜喉尖锐湿疣切除术 ,其中 13例同时行疣组织上臂内侧皮下埋植术、干扰素声带黏膜下注射。结果 :随访 35例 ,痊愈 2 6例 ,好转 7例 ,死亡 2例 ;其中 ,气管切开 7例 ,拔管困难 3例。结论 :本病病变范围大 ,复发率高 ,应用支撑喉镜行喉肿瘤摘除术 ,疣组织上臂内侧皮下埋植术及干扰素辅助治疗 ,可更精确切除肿瘤和减少复发 ,避免气管切开术后拔管困难。

Objective:To investigate the therapeutic methods of laryngeal condyloma acuminata in children.Method:Operative treatment was performed in 43 cases of laryngeal condyloma acuminata in children. Direct laryngoscopy with removal of laryngeal tumor under surface anesthesia was performed in 26 cases, and trachea cannula, self-retaining laryngoscopy with removal of laryngeal tumor under general anesthesia were performed in 17 cases, hypodermic implantation of the removal condyloma acuminata at medial upper arm and submucous injection of interferon at vocal fold were performed in13 cases at the same time.Result:Cases were followed-up, 26 cases were cured, 7 cases were improved, 2 cases were dead,7 cases needed tracheotoma, 3 cases had difficulty of decannulation.Conclusion:wide affected part and high recurrence rate are characters of this disease, the tumor can be removed more accurately and the recurrence rate can be decreased when performing self-retaining laryngoscopy with removal of laryngeal tumor combined with hypodermic implantation of the removal condyloma acuminata at medial upper arm and submucous injection of interferon at vocal fold. Difficulty of decannulation can also be avoided after tracheotoma.