支气管镜下电凝介入治疗儿童先天性会厌囊肿十例  

Application of electric coagulation treatment via bronchoscopy in the management of congenital vallecular cyst in children

作　　者：刘霞[1] 马静[1] 赵凤美[1] 张忠晓[1] 牛铁环[1] 闫秀丽[1] 王超[1] 孟晨[1] 

机构地区：[1]山东大学齐鲁儿童医院呼吸介入中心,济南250022

出　　处：《中华儿科杂志》2013年第11期846-848,共3页Chinese Journal of Pediatrics

基　　金：济南市2010年科学技术发展计划（济科计[2010]37）

摘　　要：目的 总结电子支气管镜诊断和治疗儿童先天性会厌囊肿的经验.方法 对2010年1月至2012年10月山东大学齐鲁儿童医院呼吸介入中心收治的10例先天性会厌囊肿患儿进行支气管镜下电凝治疗,根据患儿呼吸状态改善情况、内镜下所见进行术前术后评估.10例患儿中男8例、女2例,年龄（21 d～4岁10个月）,其中新生儿1例,1～6个月婴儿7例,＞4岁2例.所有患儿均接受6～12个月的随访.结果 10例患儿中9例为会厌上囊肿,1例会厌下囊肿.患儿经3～5次支气管镜下电凝治疗后,囊肿缩小,会厌软化减轻、抬起不受限,呼吸困难、喉鸣明显改善.10例患儿均未见局部出血、疼痛哭闹、呼吸困难及窒息等并发症.通过6～12个月随访,所有患儿喉鸣、憋气症状基本消失,无囊壁残留及复发病例,会厌活动恢复正常.结论 支气管镜下电凝治疗是解决儿童先天性会厌囊肿有效、安全的方法之一.Objective To discuss the effect of electric coagulation through bronchoscopy in diagnosis and treatment of congenital valleeular cyst in children. Method Ten cases of congenital vallecular cyst in the study with age ranged from 21 days to 4 years and 10 months were treated with electric coagulation through bronchoscopy. The therapeutic effect was evaluated by endoscopic and clinical manifestation. And all the patients were followed-up for 6 - 12 months. Result All the patients obtained 3 -5 times electric coagulation. After the operation, the cyst decreased in size, epiglottis softening was subsided, uplift uneompression,dyspnea and laryngeal stridor were improved obviously. After follow-up periods of 6 - 12 months, no capsule wall were left, and the activity of the epiglottis resumed. No severe complication was found in any patient. Conclusion Electric coagulation through bronchoscopy is a simple, effective and safe method to treat congenital vallecular cyst in children.

关 键 词：囊肿 会厌 支气管镜检查 电凝术 儿童 

分 类 号：R767.5[医药卫生—耳鼻咽喉科]