声门下腔囊肿的诊断和治疗

Diagnosis and treatment of subglottic cyst

摘要:

目的 总结分析声门下腔囊肿患儿的诊断及治疗经验。方法 回顾性分析2015年3月－2021年3月该院儿童医学中心呼吸介入科收治的8例声门下腔囊肿患儿的诊疗经过，描述性研究及统计其临床表现及预后情况。结果 获得性声门下腔囊肿患儿多以早产低出生体重儿伴有气管插管病史为主，病程中易出现反复呼吸道感染、生长发育迟缓、喉鸣和气促等症状。声门下腔囊肿发病年龄多为1岁左右，囊肿以右侧单发为主，Myer-Cotton Ⅱ度及以上采用内镜介入治疗，Myer-Cotton Ⅰ度多随访，预后可，但有复发的可能。结论 对于有插管病史的早产低出生体重患儿，若在出生后出现反复呼吸道感染、生长发育迟缓、喉鸣和气促等症状，需警惕声门下腔囊肿的发生，狭窄严重者需介入治疗，但狭窄程度轻者可随访观察，介入治疗后有复发可能。

Abstract:

Objective To summarize and analyze the diagnosis and treatment experience of children with subglottic cyst.Methods From March 2015 to March 2021, the diagnosis and treatment of 8 children with subglottic cysts were retrospectively analyzed, and their clinical manifestations and prognosis were studied and statistically analyzed.Results Most of the children with acquired subglottic cysts were preterm and low birth weight children with a history of tracheal intubation. During the course of the disease, they were prone to recurrent respiratory tract infection, growth retardation, laryngeal ringing, shortness of breath and other symptoms. The age of onset of the subglottic cysts was mostly about 1 year old. The cysts were mainly single on the right side. Endoscopic intervention was used for Myer-Cotton II and above. Most of the patients with Myer-Cotton I were followed up, these cases had a good prognosis, but could recur.Conclusion For premature low birth weight children with intubation history who have recurrent respiratory tract infection, growth retardation and shortness of breath after birth, it is necessary to be alert to the occurrence of subglottic cyst. Patients with severe stenosis need interventional treatment, but those with mild stenosis can be followed up for observation. There is a possibility of recurrence after interventional treatment