支撑喉镜下切除会厌良性肿物治疗咽异感症的临床观察

目的总结手术切除会厌良性肿物治疗咽异感症的方法和临床经验。方法2009年4月，2010年4月对48例以咽异物感为主症的会厌良性肿物患者行全麻支撑喉镜下切除会厌肿物。结果术后病理囊肿42例，淋巴组织增生4例，血管瘤2例；术后未出现出血、喉水肿、感染等并发症，术后随诊6个月～1年，治愈46例（95．8％），好转2例（4．2％），未见复发病例。结论会厌良性肿物是患者咽异物感常见的原因；会厌囊肿比例占大多数；支撑喉镜下手术切除会厌良性肿物治疗咽异感症疗效确切、安全、损伤小。

Clinical Effect Observation of Epiglottic Benign Tumor Resection in Pharyngeal Paraesthesia by Using Self-retaining Laryngoscope

Objective To investigate the diagnosis and treatment effect of epiglottic benign tumor resection on pharyngeal paraesthesia via serf-retaining laryngoscope. Methods Epiglottic benign tumor was found in 48 cases of pharyngeal paraesthesia from April 2009 to April 2010.All cases had epiglottic benign tumor resection under selfretaining laryngoscope. The follow- up time was from 6 months to one year, and the total effective rate,laryngeal edema and bleed were observed. Results The total effective rate of three kinds of operations was 95.8%. According to postoperational pathological diagnosis ,42 cases were epiglottic cyst（ 87.5%）;4 were lyghatic nodule（8.3%） and 2 were hemangioma （4.2%）.There was no comphcation. Conclusion Epiglottic benign tumors are mostly cysts. The common etiology of pharyngeal paraesthesia is epiglottic benign tumor. The resection of epiglottic benign tumor under self-retaining laryngoscope is a feasible, safe and minimally invasive technique.