低温等离子射频消融术治疗新生儿先天性舌根囊肿的临床疗效

目的　探讨新生儿先天性舌根囊肿低温等离子射频消融术的临床疗效。方法　回顾性分析本院2014年7月～2017年1月，7例行全麻低温等离子舌根囊肿射频消融术后患儿病历资料，术后予阶段性密切随访，并均行电子鼻咽喉镜检查。结果　7例患儿均顺利完成手术，完整切除舌根囊肿，术后未行气管切开等有创操作。随访3个月～2年，仅1例在术后半年内复发。结论　低温等离子具有术中出血少，损伤小等优点，用于治疗新生儿先天性舌根囊肿安全有效。电子鼻咽喉镜作为一种无创、便捷、准确的检查手段，可以应用于新生儿上呼吸道梗阻疾病的诊断与鉴别及喉部手术的随访。

Clinical efficacy of low-temperature radiofrequency ablaion for the treatment of neonatal tongue base cyst

OBJECTIVE To discuss the clinical efficacy of low-temperature radiofrequency ablaion for the treatment of neonatal tongue base cyst.METHODS Clinical data of 7 patients under the cystectomy with congenital tongue base cyst from July 2014 to Jan 2017 were reviewed.Diagnoses were confirmed by the medical history,electronic laryngoscopy and imaging examinations.RESULTS The tongue base cyst were totally removed in 7 patients and no 1 received invasive procedure.Follow-up survey ranged from 3 months to 2 years and only 1 case recurred in 6 months.CONCLUSION Low-temperature radiofrequency ablaion is a promising method for the neonatal tongue base cyst with less trauma and haemorrhage.Electronic laryngoscopy as a noninvasive,convenient,accurate examination method can be widely used in the diagnosis of neonatal upper airway obstruction diseases and postoperative follow-up of neonatal throat surgery.