喉显微切割钻在幼年型复发性气管内乳头状瘤治疗中的应用  

Application of microdebritor in the treatment of the juvenile onset recurrent respiratory papillomatosis

作　　者：王军[1] 韩德民[1] 叶京英[1] 林忠辉[1] 李秋珍[1] 宋翠平[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉-头颈外科,北京100730

出　　处：《临床耳鼻咽喉科杂志》2005年第24期1119-1120,共2页Journal of Clinical Otorhinolaryngology

基　　金：北京市自然基金资助项目(No:7052017)

摘　　要：目的:探讨幼年型复发性呼吸道乳头状瘤(JO-RRP)播散至气管后的治疗方法.方法:14例JO-RRP患儿均在全身麻醉支撑喉镜下应用气管内镜和喉显微切割钻治疗,手术间隔期内均未应用干扰素等药物治疗.结果:14例中,有8例经治疗3～6次后气管内乳头状瘤趋于局限,拔除气管套管,封闭气管造瘘口.随访6个月,气管内黏膜光滑,无乳头状瘤生长.6例尚未拔管,但肿瘤生长有明显减少的趋势.结论:应用喉显微切割钻治疗复发性气管内乳头状瘤,术野清楚,肿瘤切除彻底,并发症少,术后复发周期延长.Objective：To evaluate the treatment methods and improve the curative effects of the juvenile onset recurrent respiratory papillomatosis. Method： Fourteen patients with juvenile onset recurrent respiratory papillomatosis were treated from 2002 to 2003 by using microdebritor. Result： Among the 14 cases, eight cases had no recurrence after three to six operations within six month follow up and were decannulated, the other six cases had recur rence postoperatively, Conclusion： It is demonstrated that microdebritor surgery is an ideal therapy for the treatment of juvenile onset recurrent respiratory papillomatosis.

关 键 词：气管肿瘤 乳头状瘤 显微外科手术 

分 类 号：R730.2[医药卫生—肿瘤]