可视麻醉喉镜下低温等离子消融术治疗15例先天性会厌囊肿疗效观察

Clinical observation on 15 cases of congenital epiglottic cyst treated by low-temperature plasma ablation under visual anesthesia laryngoscope

摘要:

目的 探讨可视麻醉喉镜下低温等离子消融术治疗婴幼儿先天性会厌囊肿的临床疗效及特点。方法 选取苏州大学附属儿童医院2017年2月-2020年1月接受手术治疗的先天性会厌囊肿婴幼儿15例，对手术时间、术中出血量、创面反应进行统计分析，并观察随访半年以上。结果 15例先天性会厌囊肿患儿手术均获得成功，手术时间（22.67±7.99）min；术中出血量（3.47±1.60）mL；术后会厌创面轻度水肿3例，中度水肿2例；术后半年无1例复发。结论 可视麻醉喉镜下低温等离子消融术治疗先天性会厌囊肿具有可行性，为先天性会厌囊肿患儿提供了一种微创、安全有效的治疗方法，疗效明确，值得临床推广。

Abstract:

Objective To observe the clinical effect of low-temperature plasma ablation under visual anesthesia laryngoscope for the treatment of congenital epiglottic cyst in infants, and to explore the characteristics of this surgical method. Methods A total of 15 infants with congenital epiglottic cyst surgically treated in our hospital from Feb 2017 to Jan 2020 were included. The operative time, intraoperative blood loss and wound response were statistically analyzed. All the patients were followed up for more than half a year. Results Surgical treatment of congenital epiglottic cyst was successfully performed by low-temperature plasma ablation under visual anesthesia laryngoscope in all the 15 cases. The average operation time was (22.67±7.99) min, and the intraoperative blood loss was (3.47±1.60) ml. As for the wound response, mild edema of epiglottis was observed in 3 cases and moderate in 2. Postoperative follow-up for half a year revealed no recurrence. Conclusions Low-temperature plasma ablation under visual anesthesia laryngoscope is feasible for the treatment of congenital epiglottic cyst. With advantages of minimal invasion, safety and clear efficacy, this surgical method is worth promoting clinically for the treatment of congenital epiglottic cyst in children.