摘要
目的：探讨新生儿及婴幼儿鼻咽部畸胎瘤的临床特点及治疗方法,以减少误诊误治。方法：回顾性研究11例新生儿及婴幼儿鼻咽部畸胎瘤患儿的资料,总结其临床特点。鼻咽镜、CT或MRI等术前常规检查后,在全身麻醉气管内插管下,8例行低温等离子射频消融手术,3例行动力系统常规手术切除。结果：11例患儿新生物均完全切除,手术时间5~15min,术中出血1~5ml,术后患儿无明显鼻塞、出血、进食鼻咽反流或呼吸困难等并发症。术后每2周复查电子纤维鼻咽镜1次,均可见创面有白膜及纤维蛋白样渗出物,约3周后白膜大部分脱落,随访3个月,白膜均完全脱落,经鼻呼吸顺畅,打鼾及张口呼吸症状缓解,鼻咽部黏膜上皮化良好。随访10个月~9年无复发。结论：在鉴别婴幼儿呼吸困难,特别是有上呼吸道梗阻和呛奶症状时,应考虑鼻咽部畸胎瘤;鼻内镜下低温等离子射频消融手术具有时间短,术中操控精准、出血少、术野清晰,术后反应轻、痛苦小、复发率低等优点,为临床提供了一种新的治疗手段。
Objective：To describe and analyze the clinical characteristics of nasopharyngeal teratoma in infants and improve the levels of diagnosis and treatment to reduce misdiagnosis.Method：The clinical data of 11 cases of nasopharyngeal teratoma in infants were reviewed retrospectively and summarized the clinical features.After the preoperative examination of nasopharyngeal endoscopy and imaging（CT or MRI）,all patients were under general anesthesia of nasopharyngeal teratoma surgical resection.Of them,8cases were used radiofrequency ablation,3cases used conventional power systems.Result：Eleven cases with neoformation were completely removed,the operation time was 5-15 min,blood loss was 1-5ml,patients had no significant nasal obstruction,bleeding,eating nasopharyngeal regurgitation,breathing difficulties or other complications.No recurrence was found after 10 months to 9years followed up.Conclusion：The nasopharyngeal mass must be kept in mind in the differential diagnosis of breathing difficulties in infants,especially when it exists together with upper airway obstruction symptoms;The low-temperature radiofrequency ablation with endoscopic had the advantages of short time,precise control,less bleeding,clear operative field,little injury and pain,low recurrence,providing a new clinical treatments.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第12期1115-1117,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
武汉市卫生局临床医学科研项目(No:WX14A07)
关键词
畸胎瘤
新生儿
婴幼儿
鼻咽肿瘤
外科手术
teratoma
newborn
infant
nasopharyngeal neoplasms
surgical procedures,operative
