气管切开术与儿童复发性呼吸道乳头状瘤病气管内扩散的 …

目的 探讨气管切开术与儿童复发性呼吸道乳头状瘤病的关系，介绍避免气管切开和处理喉、气管乳头状瘤的经验。方法 １９９２年５月至１９９７年７月收治患儿６２例。男３２例，女３０例。发病年龄１个月至８岁４个月，平均２岁２个月。除４例放弃继续治疗外，其他患儿共接受喉肿物摘除术、支撑镜下喉显微激光手术和／或支气管镜检查、气管内肿物摘除术１６３次。结果 ２１例气管切开并长期戴管的患儿中１７例（８０．９％）发生气

The relationship between tracheotomy and intra-tracheal papilloma progression in children]

OBJECTIVE: To clarify the relationship between tracheotomy and intra-tracheal papilloma progression and introduce the experience of managing dyspnea in the hospital. METHODS: Children who were treated in ENT department of Tongren Hospital between 1992 and 1997 were reviewed in this essay. There were totally sixty-two children (thirty-two boys and thirty girls) with laryngeal papilloma and recurrent respiratory papillomatosis enroled in the series. RESULTS: Among 33 non-tracheotomied children the intra-tracheal lesions were found in only 2 cases (6.1%). There were 17 (80.9%) cases presented intra-tracheal lesions in 21 tracheotomied cases, and it showed great statistical difference (chi 2 = 27.4, P < 0.005). There were no difference of onset age, sex and the first sites of papilloma lesions between the non-tracheotomied and tracheotomied groups(P > 0.05). CONCLUSION: We found papilloma has a week potential to progress into trachea. Tracheotomy is the most important factor of intra-tracheal papilloma progression in many cases. The tracheotomy can be avoided.