婴幼儿鼻咽部新生物的临床分析及诊治探讨  

The clinical analysis and surgical management of infant nasopharyngeal neoplasms

作　　者：王智楠[1] 夏菲[1] 张亚敏[1] 徐忠强[1] 郝丽丽[1] 姚薇[1] 黄涛[1] 夏忠芳[1] 王淑芬[1] 

机构地区：[1]武汉市儿童医院耳鼻咽喉科,武汉430016

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第21期1698-1700,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：武汉市卫生局临床医学科研项目(No:WX14A07)

摘　　要：目的：分析婴幼儿鼻咽部新生物的临床特征及诊疗经验。方法：回顾性分析2002-06-2015-03期间收治的20例鼻咽部新生物患儿的临床特征,所有患儿均完善术前相关检查后在全身麻醉下行70°内镜下鼻咽部新生物摘除术,新生物常规送病理检查。结果：经鼻内镜手术彻底切除新生物,低温等离子射频消融术操作简单方便、手术时间短、术中出血量少、视野清晰。术后病理检查显示：囊肿5例,畸胎瘤4例,毛息肉4例,错构瘤3例,淋巴组织增生2例,胶质瘤1例,横纹肌肉瘤1例。术后随访6个月-12年,复发2例,其中死亡1例。结论：婴幼儿鼻咽部新生物绝大部分为良性,先天性鼻咽部肿瘤临床比较罕见,多于婴幼儿早期发现。CT及MRI检查对诊断有重要意义。70°鼻内镜下低温等离子射频消融术是值得推广的手术方法。Objective. To analysis the clinical features,diagnosis and treatment experience of nasopharyngeal neoplasm in infants. Method： Twenty infants cases of nasopharyngeal neoplasm, from June 2002 to March 2015, admitted in our department were retrospectively studied. Nasopharyngeal neoplasm in all cases were ablated with low temperature plasma radiofrequency ablation after anesthesia downlink preoperative 70 degrees endoscope, and new biological routine pathologic examination were done. Result： The low temperature plasma radiofrequency ablation has several advantages, such as simple and convenient operating, short operating time, intraoperative blood loss and clear vision. Five cases were diagnosed as postoperative pathological cyst,4 cases were teratoma, 4 cases were hairy polyps,3 cases were hamartoma, 2 cases were hyperplasia of lymphoid tissue, 1 case was glioma, and 1 case was rhabdomyosarcoma. Postoperative follow-up for 6 months to 12 years, recurrence were found in 2 cases, including 1 death case. Conclusion： Infants nasopharyngeal neoplasm are almost benign, clinical rare congenital nasopharyngeal tumor more than the early detection of an infant. CT and MRI examination has important significance to the diagnosis. Low-temperature plasma radiofrequency ablation with Seventy degrees nasal endoscope is worth extending.

关 键 词：婴幼儿 鼻咽部新生物 外科手术 

分 类 号：R766.8[医药卫生—耳鼻咽喉科]