内镜辅助下聚桂醇注射治疗咽喉部血管瘤  

Endoscope-assisted lauromacrogol injection for hemangioma of pharynx and larynx

作　　者：孙常领 杜晓东 屈宏扬 徐鹏程 过丹尼 殷潇 SUN Changling;DU Xiaodong;QU Hongyang;XU Pengcheng;GUO Danni;YIN Xiao(Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu,214062,China)

机构地区：[1]江南大学附属医院(无锡市第四人民医院)耳鼻咽喉头颈外科,江苏无锡214062

出　　处：《中国耳鼻咽喉头颈外科》2018年第7期393-396,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：无锡市科教强卫工程青年医学人才项目(QNRC054)

摘　　要：目的探讨内镜辅助下聚桂醇注射治疗咽喉部血管瘤的方法及疗效。方法收集我院2015年8月~2018年3月收治的咽喉部血管瘤患者10例,在电子喉镜或内镜辅助支撑喉镜下行瘤体内聚桂醇注射,分析注射后的疗效和并发症。结果注射次数1~4次,平均1.9次;随访3个月~1年,治愈9例,显效1例;所有患者术后有不同程度咽痛及咽部异物感;3例注射区域有明显肿胀,2例注射后行预防性气管切开术,1例术后戴气管插管回病房;无局部黏膜溃烂、发热、过敏发生。结论内镜辅助下聚桂醇注射治疗咽喉部血管瘤疗效确切,安全可靠。OBJECTIVE To investigate the efficacy and safety of local lauromacrogol injection in the treatment of laryngopharyngeal hemangioma. METHODS A total of 10 patients suffering f rom hemangioma of phar y n x and larynx from Aug 2015 to Mar 2018 were collected. Endoscope assisted local lauromacrogol injection under topical was used. The therapeutic effects were observed and analyzed.RESULTS All patients were followed up for 3 months to 1 year. Among them, 9 cases were cured and 1 was obviously effective for totally 1 to 4（mean 1.9） injections. All patients complained of postoperative pain or foreign body sensation, 3 patients were signif icantly affected by local swelling of the injection site. 2 patients underwent tracheostomy and 1 patient returned to ward with endotracheal intubation postoperatively. No complications such as mucosal ulceration, fever, allergies occu r red. CONCLUSION Lauromacrogol injection is a safe and effective method to treat hemangioma of pharynx and larynx.

关 键 词：咽 血管瘤 内窥镜检查 聚桂醇 

分 类 号：R739.6[医药卫生—肿瘤]