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目的:介绍鼻内镜下治疗小儿复发性呼吸道乳头状瘤病(JORRP)方法。方法:回顾性分析在鼻内镜引导下,经气管造口手术治疗6例小儿(JORRP)气管内播散肿瘤的诊治经验。结果:所有病例手术后恢复快,无明显并发症发生。鼻内镜下经气管切口手术术后复发时间平均5.4个月,经支气管镜等手术方法治疗平均复发时间2.2个月。结论:采用鼻内镜引导下行气管内乳头状瘤手术,术中视野清晰,能有效地清除肿瘤,避免损伤气管内正常黏膜,减少肿瘤复发频率。
Objective: To introduce the method of nasal endoscopic treatment of children with recurrent respiratory papillomatosis (JORRP). Methods: The diagnosis and treatment of tracheobronchial tumors in 6 children (JORRP) treated by endoscopic tracheostomy under nasal endoscopy were retrospectively analyzed. Results: All cases recovered quickly after operation, no obvious complications occurred. Endoscopic tracheotomy by tracheostomy postoperative recurrence of an average of 5.4 months, by bronchoscopy and other surgical treatment of the average recurrence time of 2.2 months. Conclusion: Endoscopic endoscopic tracheal intrathecal papilloma surgery, clear visual field, can effectively remove the tumor, to avoid damage to the endotracheal mucosa and reduce the frequency of tumor recurrence.