喉尖锐湿疣26例  

Surgical Treatment for Laryngeal Condyloma Acuminate

作　　者：陈立勇[1] 

机构地区：[1]菏泽医学专科学校附属菏泽市立医院,山东菏泽274031

出　　处：《菏泽医学专科学校学报》2005年第2期13-15,共3页Journal of Heze Medical College

摘　　要：目的探讨喉尖锐湿疣的治疗方法。方法对26例喉尖锐湿疣进行手术治疗,15例在表面麻醉下行直接喉镜喉尖锐湿疣切除术,11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8例同时行疣组织三角肌皮下埋植术、α-2b干扰素声带黏膜下注射。结果随访21例,痊愈15例,好转5例,死亡1例;其中气管切开5例,拔管困难2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,疣组织三角肌皮下埋植术及干扰素辅助治疗,避免气管切开术后拔管困难。Objective To investigate the therapeutic methods for laryngeal condyloma acuminate. Methods Operative treatment was performed in 26 cases of laryngeal condyloma acuminate. Direct laryngoscope with removal of laryngeal tumor under surface anesthesia was performed in 15 cases, and trachea cannula self-retaining laryngoscope with removal of laryngeal tumor under general anesthesia were performed in 11 cases, hypodermic implantation of the removal condyloma acuminate at deloid and submucosa injection of α-2binterferon at vocal fold were performed in 8 cases at the same time. Results 21 cases were followed-up, 15 cases were cured, 5 cases were improved, 1 cases were dead, 5 cases needed tracheotoma, 2cases had difficulty on 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 laryngoscope with removal of laryngeal tumor combined with hypodermic plantation of the removal condyloma acuminate at deltoid and submucosa injection of interferon at vocal fold. Difficulty of decannulation can also be avoided after tracheotomy.

关 键 词：喉 尖锐湿疣/治疗 

分 类 号：R767[医药卫生—耳鼻咽喉科]