内镜在婴幼儿舌根囊肿手术中的临床应用分析

doi:10.6040/j.issn.1673-3770.0.2021.265

摘要/Abstract

摘要： 目的探讨内镜在治疗婴幼儿舌根囊肿手术中的临床应用价值与疗效。方法回顾性分析65例婴幼儿舌根囊肿患者临床资料,内镜下支撑喉镜下行舌根囊肿等离子消融术39例,肉眼直视下支撑喉镜下行舌根囊肿等离子消融术26例,分析内镜下与肉眼直视下手术治疗婴幼儿舌根囊肿在术创处理、术后拔管时间及复发等情况的差异性。结果内镜组转ICU延迟1 d拔管2例,延迟3 d拔管1例;肉眼直视组转ICU延迟1 d拔管3例,延迟2 d拔管2例,延迟3 d拔管2例。内镜组3例术中见囊壁内有不完全性间隔,13例囊壁底深达舌骨。内镜组随访3年内无复发者,肉眼直视组复发3例。结论内镜下手术治疗婴幼儿舌根囊肿术野更清晰,创伤范围小,囊壁消融更彻底,明显减轻术后水肿,缩短拔管时间并降低复发率。

关键词: 内镜, 婴幼儿, 舌根囊肿, 甲状腺舌管, 喉鸣, 呛咳, 气促

Abstract: Objective To investigate the clinical value and effect of the endoscope in the treatment of infantile tongue base cyst. Methods The clinical data of 65 infants with tongue base cyst were retrospectively analyzed. A total of 39 patients underwent plasma ablation of tongue base cyst under prop laryngoscopy with the endoscope and 26 patients underwent the same procedure with the naked eye. The differences between endoscopic and naked eye surgeries in the surgical treatment of infantile tongue cyst regarding surgical effects, postoperative extubation time, and recurrence were analyzed. Results Ten cases(3 cases in the endoscope group and 7 cases in the naked eye group)were transferred to the intensive care unit for delayed extubation. In the endoscopic group, 2 patients had delayed extubation for 1 day and 1 patient had delayed extubation for 3 days, while in the naked eye group, 3, 2, and 2 patients had delayed extubation for 1, 2, and 3 days, respectively. In the endoscopic group, incomplete septa were found in the cyst wall in 3 cases and the bottom of the cyst wall reached the hyoid bone in 13 cases. The endoscopic group had no recurrence within 3 years, and the naked eye group had 3 recurrences. Conclusion Endoscopic surgery in the treatment of infant tongue base cyst has a clearer surgical field, smaller scope of trauma, more complete ablation of cyst wall, significantly reduced postoperative edema, shortened time of extubation, and reduced recurrence rate.

Key words: Endoscope, Infant, Tongue base cyst, Thyroglossal dust, Laryngeal strior, Choking cough, Shortness of breath.

中图分类号:

R767

黄桂亮,孙昌志,罗仁忠,陈彦球,刘少锋,许家健. 内镜在婴幼儿舌根囊肿手术中的临床应用分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 100-105.

HUANG Guiliang, SUN Changzhi, LUO Renzhong, CHEN Yanqiu, LIU Shaofeng, XU Jiajian. Clinical application analysis of endoscope in the operation of infantile tongue base cyst[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 100-105.

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