儿童声带良性增生性病变特征及疗效分析

Characteristics and Long-term Outcomes of Benign Lesions of the Vocal Folds in Children

李雪岩;程丽宇;杨菁菁;胡蓉;徐文

1:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

2:耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

摘要
目的 分析儿童声带良性增生性病变临床特征和疗效,为治疗方式的选择提供参考。方法 回顾性分析2010至2021年诊断为声带良性增生性病变的686例患儿的临床资料,将有随访记录的100例患儿分为非手术组(66例)和手术组(34例),比较两组疗效。结果 (1)686例声带良性增生性病变患儿中男孩多见(455例,66.3%),最多分布于6~<10岁(249例,36.3%),声带息肉最常见(451例,65.7%)。非手术组和手术组长期有效率分别为63.6%和79.4%。22例声带息肉手术治疗患儿中7例术后复发,复发年龄为3~<10岁,复发中位时间为术后6月,均为男孩。所有声带囊肿患儿保守治疗均无效。结论 儿童声带良性增生性病变更多见于男孩,年龄主要分布在6~<10岁,声带息肉最常见。声带息肉患儿小于6岁时首选保守观察,>10岁时可考虑行手术治疗;声带囊肿患儿建议手术治疗。
关键词
儿童;声带良性增生性病变;非手术;手术治疗
基金项目(Foundation):
作者
李雪岩;程丽宇;杨菁菁;胡蓉;徐文
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