吸气性喉喘鸣婴儿112例电子喉镜检查结果分析  

The findings of video laryngoscopy in 112 infants with inspiratory stridor

作　　者：张云飞[1] 许政敏[1] 陈超[1] 陈文霞[1] 戴玉琼[1] 

机构地区：[1]复旦大学附属儿科医院耳鼻咽喉科,上海200032

出　　处：《临床儿科杂志》2008年第6期532-534,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨0～1岁婴儿吸气性喉喘鸣的病因及电子喉镜在婴儿喉部疾病诊断中的应用和价值。方法回顾性分析了2006年6月-2007年7月112例0～1岁吸气性喉喘鸣婴儿电子喉镜检查的结果,其中男76例,女36例,按初诊年龄分为3组:新生儿组(A组)24例,～6月龄组(B组)63例,～12月龄组(C组)25例。结果①112例中喉软骨软化症82例(占73.21%);喉部炎症、声带麻痹、声门下占位各3例(各占2.68%);喉乳头状瘤、声门上软组织增生各2例(分别占1.79%);会厌旁占位、咽侧壁占位、舌根部占位、咽后壁脓肿各1例(分别占0.89%);13例(11.61%)患儿喉部结构正常。②三组中,喉软骨软化症所占比例分别为75.00%、85.71%、40.00%,其他喉部病变所占比例分别为20.83%、9.52%、24.00%。③喉软骨软化症在A组和B组中所占比例差异无统计学意义(P>0.05),而在C组中所占比例与前两组相比差异均有统计学意义(P<0.05)。结论喉软骨软化症仍是0～1岁婴儿吸气性喉喘鸣的主要病因,随着月龄增长有自愈的倾向;其他喉部病变也是吸气性喉喘鸣的重要病因,需尽早诊断治疗。电子喉镜检查安全、快速、无创、清晰,对0～1岁婴儿喉部疾病的诊断具有不可替代的价值。Objectives To explore the etiology of inspiratory stridor and assess the value of video laryngoscope in diagnosing Laryngeal conditions in infants. Methods Findings of video laryngoscope in 112 infants （76 males and 36 females） with inspiratory stridor were retrospectively analyzed. The examinations were taken from June 2006 to July 2007. The patients were divided into three groups： group A （24 neonates）, group B （63 infants aged from 1 to 6 months） and group C （25 infants aged from 7 to 12 months）. Results （1） Among 112 infants, 82 cases had laryngomalacia （73.21%）. There were 3 each with laryngitis, vocal cord paralysis, and hypolaryngeal lump, each accounting for 2.68%. In addition, there were 2 patients with laryngeal papilloma and 2 patients with hyperplasia of superior part of the glottis （each accounting for 1.79%）. There was one each with epiglottic lump, lateral pharyngeal wall lump, lingual root lump and retropharyngeal abscess （0.89% each）. 13 of the 112 infants were normal （11.61% ）. （2） The percentages of laryngomalacia in group A, B, and C were 75.00%, 85.71%, and 40.00%, respectively, and the percentages of other laryngeal diseases were 20.83%, 9.52%, and 24.00%, respectively. （3） There was no significant difference in laryngomalacia between groups A and B （P 〉 0.05）. However, the differences between group A and group C, group B and C were significant （P 〈 0.05）. Conclusions Laryngomalacia was still the major cause of infant inspiratory stridor, which resolved spontaneously. Other throat lesions were also important and should be diagnosed and treated in time. Video laryngoscopy is a safe, quick, clear and nontraumatic method which is irreplaceable for the diagnosis of Laryngeal conditions ininfants.

关 键 词：电子喉镜 吸气性喉喘鸣 喉软骨软化症 婴儿 

分 类 号：R767[医药卫生—耳鼻咽喉科]