小儿复发性呼吸道乳头状瘤病所致喉阻塞外科治疗特点分析  

Feature analysis of surgical treatment of recurrent respiratory papillomatosis with laryngeal obstruction in children

作　　者：阿依恒.曲库尔汗[1] 尼力帕尔.阿力木 皮力东.库亚西 刘志连[1] 亚力坤.亚生 

机构地区：[1]新疆医科大学第一附属医院耳鼻咽喉科,乌鲁木齐830054

出　　处：《中国小儿血液与肿瘤杂志》2011年第2期86-88,92,共4页Journal of China Pediatric Blood and Cancer

摘　　要：目的探讨小儿复发性呼吸道乳头状瘤病(JORRP)喉阻塞的外科治疗特点。方法回顾性分析我科收治并进行反复外科治疗的JORRP所致喉阻塞患儿13例临床资料。结果 JORRP首次诊断平均年龄1.6岁,喉阻塞平均发病年龄3.8岁,平均手术3.5次,平均复发时间7个月,术后并发喉功能障碍8例,气管切开11例,1例气管造口有乳头状瘤播散。结论 JORRP是儿童最常见的喉部肿瘤,由于易复发,常需多次手术,而且容易引起喉阻塞,危及生命,手术应注意保存喉部正常组织结构,常需气管切开解除呼吸道阻塞,还要防治病变局部接种和邻近器官传播。Objective To evaluate the features of surgical treatment of juvenile onset recurrent respiratory papillomatosis（JORRP） with laryngeal obstruction.Methods Thirteen cases of JORRP with laryngeal obstruction which received repeated surgical treatment were retrospectively analyzed in our department.Results The average age of first diagnosis of JORRP and laryngeal obstruction onset were 1.6 years and 3.8 years,respectively.The average times of operation were 3.5.Eight cases were complicated with postoperative laryngeal dysfunction.Tracheotomy was performed in 11 cases.One case had papilloma spread after tracheostomy.Conclusion JORRP is the most common laryngeal tumor in children,which often requires repeated surgeries because of recurrence.It is prone to cause laryngeal obstruction and endanger life.Normal laryngeal tissue structures should be preserved in surgery,which requires not only tracheotomy to relieve airway obstruction,but also prevention of local spread of disease from adjacent organs.

关 键 词：小儿复发性呼吸道乳头状瘤病 外科治疗 复发 气管切开术 

分 类 号：R734[医药卫生—肿瘤]