摘要
目的:探讨低温等离子消融术治疗婴幼儿声门下血管瘤的疗效。方法:回顾性分析确诊为声门下血管瘤的5例婴幼儿的临床资料,其中2例患儿行气管切开术,全部患儿均于内镜下实施低温等离子消融术,术后给予口服普萘洛尔(心得安)辅助治疗,观察疗效。结果:所有患儿术后都获得较好的效果,血管瘤消失,未见复发。2例气管切开患儿术后顺利拔管。结论:对于体积较大的声门下血管瘤,采用气管切开后再用低温等离子消融治疗声门下血管瘤,能迅速缓解气道梗阻,缩短自然病程,无术后声门下狭窄等并发症,对于体积稍小的声门下血管瘤,直接于全身麻醉下行声门下血管瘤等离子消融术,可避免气管切开。普萘洛尔(心得安)辅助治疗亦可降低血管瘤复发。因此低温等离子消融术及普萘洛尔(心得安)辅助治疗婴幼儿声门下血管瘤具有安全、简单、微创及复发率低等优势,是治疗婴幼儿声门下血管瘤的一种有效方法。
Objective：To evaluate the effect of low-temperature coblation on subglottic hemangioma under endoscopy.Method：Clinical data of 5 patients whom were diagnosed as subglottic hemangioma treated with low-temperature coblation under endoscopy were retrospectively studied.Two cases of the patients were treated after traeheotomy.Result：Hemangioma vanished completely in the 5 patients.All patients were followed-up from 3-6 months,no recurrence was found,and the 2 cases were extubated successfully.Conclusion：Endoscopic surgery using low-temperature coblation for subglottic hemangioma after traeheotomy can relief the airway obstruction quickly,shorten the nature course of hemangioma and the period of wearing trachea,also no complication such as subglottic stenosis which is thought to be a safe and effective therapy for large size hemangioma.While for small size hemangioma,endoscopic surgery using low-temperature coblation under good total anesthesia without tracheotomy combined is effective,less injure,and suitable.Endoscopic surgery using low-temperature coblation for subglottic hemangioma has following advantages such as simplicity,minimal invasion and so on.It is a viable surgical method for the treatment of subglottic hemangioma.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2013年第12期656-659,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
