下咽纤维血管性息肉1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.400

摘要/Abstract

摘要： 目的探讨下咽纤维血管性息肉的临床表现及诊治难点,总结经验,减少误诊及漏诊,精准选择手术方式。方法阅读文献并对 1 例下咽纤维血管性息肉患者的诊疗过程进行总结,分析该患者的临床表现、疾病进展、辅助检查结果及治疗难点。结果下咽纤维血管性息肉可于咽喉及食管内游移,表面被覆正常上皮组织,临床容易出现误诊、漏诊。需根据临床症状并辅助内窥镜、影像等多项检查综合诊断。息肉处于食道中时是安全的麻醉状态,内镜下手术切除是首选治疗方法。结论下咽纤维血管性息肉较为罕见,术前完善检查、明确诊断,正确根据根蒂的位置、宽窄,息肉的大小、组成成分选择适合的手术方式非常重要。

关键词: 下咽纤维血管性息肉, 下咽活动性肿物, foley管, 二氧化碳激光切除术

Abstract: Objective To discuss the clinical manifestations and difficulties in the diagnosis and treatment of hypopharyngeal fibrovascular polyps, to summarise experience, to reduce misdiagnosis and missed diagnosis, and to select surgical methods accurately. Methods The literature was reviewed and the diagnosis and management of a patient with a hypopharyngeal fibrovascular polyp was summarised. The clinical manifestations, the course of the disease, the results of accessory examinations and the difficulties of treatment were analysed. Results Hypopharyngeal fibrovascular polyps can migrate in the larynx and esophagus, and the surface is covered with normal epithelial tissue, which is prone to misdiagnosis and missed diagnosis in the clinic. A comprehensive diagnosis should be made on the basis of clinical symptoms supported by endoscopy, imaging and other investigations. Anesthesia is safe when polyps are located in the esophagus, and endoscopic surgical resection is the preferred method of treatment. Conclusion Hypopharyngeal fibrovascular polyps are rare and prone to misdiagnosis and missed diagnosis. It is very important to perform a complete preoperative evaluation, establish a clear diagnosis, and choose an appropriate surgical approach based on the location, width, size and composition of the root base.

Key words: Hypopharyngeal fibrovascular polyp, Active mass of hypopharynx, Foley catheter, Carbon dioxide laser excision

中图分类号:

R766

王坛,王晶,李燕子,卜苓南,杨淑娟. 下咽纤维血管性息肉1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 121-125.

WANG Tan, WANG Jing, LI Yanzi, BU Lingnan, YANG Sujuan. Hypopharyngeal fibrovascular polyp:a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 121-125.

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