氩气刀治疗儿童声门和声门下新生物3例

摘要 目的 探讨小儿声门及声门下疾病治疗的临床经验。方法 回顾性分析本院2011年引进氩气刀技术后，收治的4例小儿声门及声门下疾病患儿的治疗情况及转归。结果 3例声门下病变病例在手术后均未出现肉芽组织的再次增生，未发现气道内的疤痕和狭窄，顺利拔出气管切开的套管及气管插管，恢复正常呼吸。1例声门的喉乳头状瘤的患儿五个月后复查，未发现乳头状瘤复发，也顺利拔除气管切开套管。结论 电子气管镜图像清晰，镜身细小柔软，可随意弯曲，转换角度，定位准确。氩气刀喷头直径小，能顺利通过小儿的声门，操作精确，手术时间短，对周围正常组织无损伤，在小儿声门及声门下疾病的治疗中，值得推广应用。

Treatment of glottis and subglottic neoplasm with argon plasma coagulation

Abstract Objective To explore the clinical curative effects in the treatment of children glottis and subglottic disease.Methods etrospective analysis of 4 cases admitted in our hospital since 2011 after the using of argon plasma coagulation via tracheal endoscopic .Results 3 cases of subglottic disease were not found granulation tissue proferation again and trachebronchial stenosis after sugery.They were resore normal breathing after unplugging tracheotomy cannula and endotracheal intubation.1 case of larynx papilloma was not found tumor recurrence after surgery 5 months later .Then we unplugged the tracheotomy cannula.Conclusion The imaging of electronic tracheal endoscopic is clear.It can freely prospective change the angle and positioning accuracy.The nozzle dimeter of argon plasma coagulation is small.It can enter the children’s glottis smoothly.It can make operation more precise and reduce operative time.It shoule be widely applied in the he treatment of children glottis and subglottic disease.