小儿颈部肿物并发呼吸困难临床分析  

Clinical analysis of dyspnea children with neck masses

作　　者：郭巧玲[1] 上官翰京[1] Guo Qiaoling;Shangguan Hanjing(Department of Otorhinolarygology & Head and Neck Surgery,First Affiliated Hospital of Xiamen University 361003)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,361003

出　　处：《中国社区医师》2016年第13期83-84,共2页Chinese Community Doctors

摘　　要：目的：探讨压迫小儿气道导致呼吸困难颈部肿物的临床特点，进一步提高诊治水平。方法：收治压迫气道所致呼吸困难的巨大颈部肿物患儿32例，术前均行颈胸部螺旋CT平扫+三维重建，首次均采用手术切除治疗解除呼吸梗阻症状。结果：术后病理诊断为鳃裂囊肿17例，脉管瘤12例，甲状舌骨囊肿2例，恶性畸胎瘤1例。术后0.5～6年随访，除恶性畸胎瘤患儿死亡，余未见复发。结论：螺旋CT平扫+三维重建对小儿巨大颈部肿物诊断有重要的指导意义，手术切除是解除呼吸困难的首选方法，多学科合作是其治愈的基础。Objective:To discuss the clinical characteristic of pediatric neck tumor which compress airway leading to thedifficulty breathing in order to further improve the diagnose level.Methods:32 cases of children with acute respiratory difficultiescaused by huge cervical masses were selected.All patients underwent cervical and thoracic spiral scan and 3D reconstruction.Allof them chosen operation excision in the treatment of respiratory obstruction symptoms for the first time.Results:There were 17cases of branchial cleft cyst,12 cases of vascular tumors,2 cases of thyroglossal cyst and 1 case of malignant teratoma inpostoperative pathological diagnosis.There was no more recurrence after the operation for half a year to 6 years of follow-up,except with the death of malignant teratoma.Conclusion:Spiral CT scan combined with 3D reconstruction has important guidingsignificance for the diagnosis of huge neck tumor diagnosis in children.Operation resection is the preferred method to relievedyspnea.Multi-disciplinary cooperation is the foundation of the cure.

关 键 词：呼吸困难 肿物 颈部 CT 

分 类 号：R739.91[医药卫生—肿瘤] R725.6[医药卫生—临床医学]