CAJ | 학술논문

目的:探讨儿童颈段原发性气管恶性肿瘤的临床表现和治疗方法.方法:对1998年以来经纤维喉镜、CT扫描、组织病理学诊断的5例原发性气管恶性肿瘤患儿的诊治进行回顾性分析.4例患儿于肿瘤下方行紧急气管切开,1例气管插管后气管切开,用气管镜和鼻内镜联合摘除气管内肿瘤;术后4例接受放疗,1例激光加放疗.结果:5例患儿随访3～8年无复发.结论:儿童气管恶性肿瘤,影像检查是有效的诊断手段,就诊时病情危重,宜行低位气管切开,逆行鼻内镜及硬管气管镜联合下彻底摘除肿瘤,术后辅以放疗可获得良好效果.儿童患者一般不宜行有创的气管壁切除术.
목적:탐토인동경단원발성기관악성종류적림상표현화치료방법.방법:대1998년이래경섬유후경、CT소묘、조직병이학진단적5례원발성기관악성종류환인적진치진행회고성분석.4례환인우종류하방행긴급기관절개,1례기관삽관후기관절개,용기관경화비내경연합적제기관내종류;술후4례접수방료,1례격광가방료.결과:5례환인수방3～8년무복발.결론:인동기관악성종류,영상검사시유효적진단수단,취진시병정위중,의행저위기관절개,역행비내경급경관기관경연합하철저적제종류,술후보이방료가획득량호효과.인동환자일반불의행유창적기관벽절제술.
Objective:To study the clinical manifestations and treatment of the primary cervical tracheal malig-nant tumor of children. Method:Five cases diagnosed as primary tracheal malignant tumor with fibrolaryngoscopy, CT scan and pathology were retrospectively analyzed and reviewed. Extraction of malignant tumor was performed with tracheoscope and nasal endoscope after emergent tracheotomy below the tumor in 4 cases, and tracheotomy after intubation in 1 case. After operation, 4 children received radiotherapy, and 1 case received laser therapy add radiotherapy. Result:Five cases were followed up for three to eight years, and no recurrence was found. Conclu-sion: There was no specific manifestation in early tracheal malignant tumor, but it was critical and emergent during symptoms appear. Imaging examination was a very invaluable dignosis method. Optimal and effective therapeutic protocol is tracheostomy under local anesthesia to keep upper airway patency followed by surgical extraction and radiotherapy. It was not appropriate to have tracheal wall resection for children.