摘要
目的探讨小儿喉尖锐湿疣(ILCA)诊治中的几个临床问题及ILCA与小儿复发性呼吸道乳头状瘤病(JORRP)的关系.方法结合文献复习,回顾分析1994年3月～2001年3月诊治的38例ILCA的临床资料.结果本组ILCA患儿平均初诊时间1.5岁,平均手术次数5.6次,平均手术间隔期2.2个月;在213次手术中,各种并发症总发生率为3.75%.目前,缓解15例,正在随访的9例,失访9例,死亡5例;手术加有治疗目的的气管切开(延长手术间隔期)和手术加中药两种治疗方式效果较好.结论 ILCA和JORRP存在广泛的共性,应视为同一疾病.ILCA的治疗仍是一个临床难题,应尽量避免用气管切开术来缓解ILCA病灶所引起的喉阻塞,手术加有治疗目的的气管切开和手术加中药治疗两种治疗方式值得进一步发展和探讨.
ve To explore some perplexing problems in the diagnosis and treatment of infantile laryngeal condyloma acuminatum (ILCA) and to discuss the relationship between ILCA and juvenile onset recurrent respiratory papillomatosis (JORRP). Methods Clinical data of 38 ILCA patients were reviewed retrospectively from March, 1994 to March, 2001. Results The average age of the first visit was 1.5 years. Averagely 5.6 operations were performed on every patient. There was an average interval of 2.2 months bewteen two surgical excisions. Of the 213 operations, the total incidence rate of complications was 3.75% . The laryngeal lesion of 15 patients improved, 9 was followed up, 9 was lost in the follow-up and 5 died (13.2% ). Laryngeal lesion excision supplemented with tracheotomy aiming at prolonging operation interval or with Chinese traditional medicine was more satisfactory than other therapies. There were extensive similariies between ILCA and JORRP. Conclusion ILCA and JORRP should be regarded as identical diseases. Treatment for ILCA is still difficult. Tracheotomy for laryngeal obstruction resulted from the laryngeal lesion of ILCA should be avoided as much as possible. Combined laryngeal lesion excision with tracheotomy aiming at prolonging operation interval or with Chinese traditional medicine is worth further exploration.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2002年第2期97-100,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
尖锐湿疣
喉肿瘤
外科学
乳头状瘤
气管切开术
Condylomata acuminata/surg
Largngeal neoplasms/surg
Papilloma/surg
Trachectomy
