声门区分叶状血管瘤1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.410

摘要/Abstract

摘要： 目的探讨声门区分叶状血管瘤(lobular capillary hemangioma, LCH)患者的诊疗方案。方法回顾性分析1例声门区LCH患者的临床表现、诊治经过及病理表现,结合相关文献进行总结。结果 LCH的表现主要是声嘶伴出血,确诊仍依靠病理,最佳治疗方案是手术,术中需充分考虑出血风险。结论声门区LCH作为声嘶、咳血的一项罕见原因,若临床怀疑本病应尽早治疗。治疗声门区LCH的关键是需评估声门区肿块对气道的影响,如是否会短时间增大阻塞气道,是否出血导致血凝块阻塞声门等气道管理工作。

关键词: 分叶状血管瘤, 化脓性肉芽肿, 声音嘶哑, 气道管理

Abstract: Objective To improve the clinical knowledge of diagnosis and treatment of glottal lobular capillary hemangioma(LCH). Methods The clinical manifestations, diagnosis and treatment and pathological manifestations of a case of glottal LCH were analyzed and summarised in the relevant literature. Results The performance of LCH is mainly hoarseness with bleeding, and the diagnosis still depends on pathology. The best treatment plan is surgery, and the risk of bleeding should be fully considered during surgery. Conclusion Glottal LCH is a rare cause of hoarseness and haemoptysis, and should be treated as early as possible if clinically suspected. The key to treat glottal LCH is to evaluate the effect of the mass on the airway, such as whether the airway increases for a short time, and whether the bleeding leads to the glottis.

Key words: Lobular capillary hemangioma, Pyogenic Granuloma, Hoarseness, Airway management

中图分类号:

R767.4

周文静,陈旭青,马俊,马华安. 声门区分叶状血管瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 101-103.

ZHOU Wenjing, CHEN Xuqing, MA Jun, MA Huaan. Glottic lobular capillary hemangioma: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 101-103.

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