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目的 :探讨小儿复发性喉乳头状瘤播散至气管内的治疗方法。方法 :利用气管内窥镜在全麻支撑喉镜下治疗小儿复发性气管内乳头状瘤 12例。结果 :12例中 ,3例随访 1年余未复发 ,已拔除气管套管 ;9例术后复发 ,但复发周期较既往应用气管镜手术明显延长 ,且病灶有逐渐局限、减少的趋势。结论 :应用气管内窥镜治疗气管内乳头状瘤 ,术野清楚 ,肿瘤摘除彻底 ,术后复发周期延长。
Objective: To investigate the treatment of recurrent laryngeal papilloma in children with tracheal dissemination. Methods: 12 cases of pediatric recurrent tracheal papilloma were treated with tracheal endoscopy in general anesthesia with support laryngoscope. Results: Of the 12 cases, 3 cases had no recurrence after one year follow-up. Tracheal cannula was removed and 9 cases relapsed after operation. However, the recurrence period was significantly longer than previous tracheoscopic operation, and the lesions were gradually reduced and restricted. Conclusion: Endotracheal endotracheal intratracheal papilloma, clear surgical field, complete tumor removal, postoperative recurrence period prolonged.