咽部乳头状瘤的消化内镜诊断和切除治疗  

Endoscopic diagnosis and resection of pharyngeal papillomas

作　　者：韩笑[1] 赵志峰[1] 麻树人[1] 张宁[1] 杨卓[1] 孙亚男[1] 张莉[1] 

机构地区：[1]沈阳军区总医院内窥镜科,沈阳110016

出　　处：《中华消化内镜杂志》2016年第9期618-620,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的评价消化内镜在咽部乳头状瘤的诊断和治疗方面的临床价值。方法回顾性分析总结沈阳军区总医院内窥镜科2009年3月至2014年12月间咽部乳头状瘤的内镜检出情况，以及内镜治疗情况和随访结果。结果6927例上消化道内镜检查和治疗者中内镜检出咽部乳头状瘤65例（93处），检出率约为0．9％（65／6927）。65例均成功施行内镜下切除治疗，采用活检钳机械切除54例，采用圈套器机械切除11例。病变切除后均有不同程度的渗血，其中创面渗血略多者6例，采用氩气精细模式止血，均取得有效控制。所有患者内镜切除术后未给予支持治疗，未发生严重出血、死亡情况。41例术后2个月复查胃镜，仅2例钳除治疗者原位再次发现乳头状瘤生长，予再次钳除后随访未见复发。结论咽部乳头状瘤可行内镜检查检出，行镜下切除治疗是安全、有效和便捷的方法。Objective To evaluate the diagnostic and therapeutic effect of endoscopy on pharyngeal papillomas. Methods Data of patients with pharyngeal papillomas diagnosed and treated by endoscopy be- tween March 2009 and December 2014 were analyzed retrospectively, including dissection, treatment and follow-up results. Results The rate of endoscopic diagnosis of pharyngeal papillomas was 0. 9% （65/6 927）. Endoscopic biopsy forceps resection was performed successfully in 54 patients. Other patients （ n = 11 ） were treated by endoscopic snare resection. There was hemorrhage of different degrees after resec- tion. Argon hemostasis was used in 6 patients for errhysls after resection. Supportive treatment was not given and no severe hemorrhage or death was seen. A total of 41 patients were followed up and endoscopic examina- tion was performed 2 months later. Pharyngeal papillomas were found again at the same site in two patients and endoscopic biopsy forceps resection was performed. Pharyngeal papillomas were not found in these two patients in the next endoscopic examination. Conclusion Endoscopy is a safe and effective diagnosis and treatment method for pharyngeal papillomas.

关 键 词：内镜检查术 内镜治疗术 乳头状瘤 咽部 

分 类 号：R739.63[医药卫生—肿瘤]